[Hippocratic fingers: clinical importance and differential diagnosis]

Klin Med (Mosk). 2007;85(5):64-8.
[Article in Russian]

Abstract

Changing of the distant finger phalanges into the form of a drumstick or fingernails into the form of a watch-glass (hippocratic fingers--HF) presents a well-known clinical phenomenon that suggests the presence of various diseases, especially those associated with hypoxia, i.e. manifested by respiratory and/or heart failure, as well as malignant tumors and subacute infective endocarditis. At the same time, the fact that this clinical phenomenon can accompany other diseases (Crohn's disease, HIV-infection) should be taken into consideration as well. HF often appear ahead of more specific symptoms. In this connection, correct interpretation of this clinical sign, augmented with laboratory tests, allows for early and valid diagnosis.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Cardiovascular Diseases / diagnosis
  • Diagnosis, Differential
  • Digestive System Diseases / diagnosis
  • Humans
  • Osteoarthropathy, Secondary Hypertrophic / etiology*
  • Paraneoplastic Syndromes / diagnosis
  • Respiratory Tract Diseases / diagnosis