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Postgraduate Medical Journal 2003;79:541
© 2003 Fellowship of Postgraduate Medicine

SELF ASSESSMENT QUESTION

Digital clubbing

Progressive furrowing of skin with digital clubbing

A C Inamadar 1, A Palit 1, S B Athanikar 1, V V Sampagavi 1, N S Deshmukh 1, S I Korishetti 2

1 Department of Dermatology, BLDEA’s SBMP Medical College, Hospital and Research Centre, Bijapur 586103, Karnataka, India
2 Department of Radiology

Correspondence to:
Correspondence to:
Dr Inamadar;
Aparuna1@rediffmail.com

Submitted 24 March 2003
Accepted 28 May 2003

Answers on p 546.

The first 150 words of the full text of this article appear below.

A 27 year old man presented with gradual coarsening of his facial features noticed for the past two years. It was associated with marked oiliness of the facial skin and excessive sweating from the palms and soles. He had also noticed gradual painless swelling of the tips of his fingers and toes since puberty, which had assumed a bulbous appearance. He did not have any systemic or visual complaints or recent change in voice. There was no history of similar illness in any of his family members. Concern for his altered appearance brought him to hospital.

On examination, he was found to have a worried face, with deep horizontal furrowing on forehead, thick eyelids, broad nose, and prominent nasolabial folds (fig 1Go). The facial skin was thick and greasy. His scalp skin was doughy with deep, longitudinal, cerebriform folds along the vertex. Wrists and ankles were wider . . . [Full text of this article]


Relevant Article

Progressive furrowing of skin with digital clubbing
Postgrad. Med. J. 2003 79: 546. [Extract] [Full Text] [PDF]





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