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(Chest. 1995;107:1172-1173.)
© 1995 American College of Chest Physicians

Digital Clubbing

Demonstration With Positron Emission Tomography

Robert W. Ward MD1; Robert Chin Jr MD, FCCP1; John W. Keyes Jr MD2; and Edward F. Haponik MD, FCCP1

1 From the Section on Pulmonary and Critical Care Medicine, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC.
2 From the Department of Radiology, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, NC.

Digital clubbing is a classic cutaneous manifestation of pulmonary disease, but its mechanism is unknown. We describe a patient with lung cancer and clubbing in whom positron emission tomography (PET) demonstrated, for the first time, that increased glucose metabolism occurs at the nailbed. PET may contribute to future investigations of digital clubbing.




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B. W. Holcomb Jr., J. E. Loyd, E. W. Ely, J. Johnson, and I. M. Robbins
Pulmonary Veno-occlusive Disease : A Case Series and New Observations
Chest, December 1, 2000; 118(6): 1671 - 1679.
[Abstract] [Full Text] [PDF]


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Copyright © 1995 by the American College of Chest Physicians.