Document Detail

Unilateral digital clubbing in a hemodialysis patient.
MedLine Citation:
PMID:  20377652     Owner:  NLM     Status:  MEDLINE    
We present an unusual case of a chronic hemodialysis patient with moderate diffuse acrocyanosis and prominent unilateral clubbing of his right hand fingers, with classic physical features of hypertrophic osteoarthropathy. The patient's left hand, which had a functioning arteriovenous fistula, did not show any evidence of clubbing. We briefly discuss the different theories in regards to the pathogenesis of clubbing, and the potential role of arteriovenous fistula in preventing its occurrence.
Jamshid Roozbeh; Mohammad Mehdi Sagheb; Vahideh Yavari; Bahar Bastani; Ghanbar A Raeesjalali
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hemodialysis international. International Symposium on Home Hemodialysis     Volume:  14     ISSN:  1542-4758     ISO Abbreviation:  Hemodial Int     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-04-09     Completed Date:  2010-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101093910     Medline TA:  Hemodial Int     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  84-6     Citation Subset:  IM    
Division of Nephrology, Shiraz University of Medical Sciences, Shiraz, Iran.
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MeSH Terms
Cyanosis / etiology,  pathology
Fingers / pathology*
Kidney Failure, Chronic / blood,  complications*,  therapy
Osteoarthropathy, Secondary Hypertrophic / blood,  etiology*,  pathology
Renal Dialysis / adverse effects*
Treatment Outcome

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