Ebrahimi Pouyan, Heshmatnia Jalal, Solemanijoniani Amirmorteza
Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Tanaffos. 2024 Apr;23(4):417-420.
This is a rare condition, especially in adults, where digital clubbing presents as the initial manifestation of lymphoma. Here, we report a case of intrathoracic Hodgkin's disease (HD) with digital clubbing.
A 34-year-old female presented with B symptoms and a history of dyspnea. She did not take any particular medicine and had no history of any specific disease in herself or her family. In the examination, the patient has digital clubbing in the fingers and toes, which is painless. He also had decreased respiratory sounds and dullness in the right lung. After a CT scan and observation of consolidation and effusion, we performed a bronchoscopy on the patient. Finally, with the diagnosis of Hodgkin's lymphoma in the pathological reports, he was subjected to appropriate treatment measures.
A precise examination and paraclinical assistance are needed to rule out intrathoracic malignancies in patients with digital clubbing.
这是一种罕见的病症，尤其是在成年人中，杵状指表现为淋巴瘤的初始症状。在此，我们报告一例伴有杵状指的胸内霍奇金病（HD）病例。
一名34岁女性出现B症状及呼吸困难病史。她未服用任何特殊药物，本人及家族均无任何特定疾病史。检查时，患者手指和脚趾出现无痛性杵状指。右肺呼吸音减弱且叩诊浊音。经CT扫描观察到实变和积液后，我们对患者进行了支气管镜检查。最终，病理报告诊断为霍奇金淋巴瘤，患者接受了适当的治疗措施。
对于有杵状指的患者，需要进行精确检查和辅助临床检查以排除胸内恶性肿瘤。
