Fomin V V, Popova E N, Burnevich E Z, Kuznetsova A V
Klin Med (Mosk). 2007;85(5):64-8.
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.
远节指骨变为杵状指或指甲变为表玻璃样(希波克拉底指——HF)是一种众所周知的临床现象,提示存在多种疾病,尤其是那些与缺氧相关的疾病,即表现为呼吸和/或心力衰竭、恶性肿瘤以及亚急性感染性心内膜炎的疾病。同时,这一临床现象也可伴随其他疾病(克罗恩病、HIV感染)出现这一事实也应予以考虑。HF往往先于更具特异性的症状出现。就此而言,结合实验室检查对这一临床体征进行正确解读有助于早期做出有效的诊断。