Farzaneh-Far, Afshin
April 2006
New England Journal of Medicine;4/13/2006, Vol. 354 Issue 15, pe14
Academic Journal
Case Study
The article presents a case study of a 36-year-old man having changes in his fingers that were initially thought to be due to clubbing. The patient had a history of obstructive nephropathy necessitating hemodialysis and renal transplantation. He also diagnosed with severe secondary hyperparathyroidism requiring parathyroidectomy. A close examination indicated preserved nail-fold angle, or Lovibond's angle. The diagnosis of pseudoclubbing was made form previous hyperparathyroidism. The changes in the patient's fingers were diagnosed to be the result of soft-tissue collapse owing to severe bone erosions of the terminal phalanges.


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