一名血液透析患者出现单侧杵状指。

Unilateral digital clubbing in a hemodialysis patient.

作者信息

Roozbeh Jamshid, Sagheb Mohammad Mehdi, Yavari Vahideh, Bastani Bahar, Raeesjalali Ghanbar A

机构信息

Division of Nephrology, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Hemodial Int. 2010 Jan;14(1):84-6. doi: 10.1111/j.1542-4758.2009.00401.x.

DOI:10.1111/j.1542-4758.2009.00401.x

PMID:20377652

Abstract

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.

摘要

我们报告了一例罕见病例，一名慢性血液透析患者出现中度弥漫性手足发绀，右手手指明显单侧杵状指，具有肥厚性骨关节病的典型体征。患者左手有一个功能正常的动静脉内瘘，未出现杵状指迹象。我们简要讨论了关于杵状指发病机制的不同理论，以及动静脉内瘘在预防其发生中的潜在作用。