%0 Journal Article
%T Idiopathic Clubbing Confined to Lower Limb Digits and Idiopathic Pulmonary Fibrosis: An Unusual Association
%A Rahul Magazine
%A Ranjan Shetty
%A Umesh Goneppanavar
%A Aswini K. Mohapatra
%J Case Reports in Pulmonology
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/684285
%X A 62-year-old housewife presented to the chest outpatient department with a history of exertional breathlessness of four-month duration. On general physical examination, clubbing of toes was present with sparing of fingers. Chest examination revealed bilateral basal end inspiratory fine crepitations. A diagnosis of idiopathic pulmonary fibrosis was made on the basis of clinical, spirometric, and high-resolution computed tomography findings. Extensive evaluation could not reveal any cause for the differential clubbing. The unusual distribution of clubbing in a clinical condition, such as idiopathic pulmonary fibrosis, where generalized clubbing is expected can lead to a diagnostic confusion. This can lead to a further burden of investigations on the patient as clubbing being a significant finding cannot be ignored.
%U http://www.hindawi.com/crim/pulmonology/2012/684285/