Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor
To the Editor: In their article on clubbing,
Drs Myers and Farquhar1 imply that "advanced"
and "early" clubbing might be used as quantitative terms. However, the terms
to describe the clubbing are not standardized. Should we just use early and
advanced (does early clubbing mean that it will become advanced with time?)
or grade the clubbing like heart murmurs? It might be useful to have some
standard rather than, for example, "present" or "absent," or "acute" and "chronic."
Once present, does clubbing often go away? I have seen clubbing in a patient
with lung cancer and when the cancer was "cured" with surgery, the clubbing
disappeared only to return with recurrence of the tumor.
Scharer L. Clinical Description of Nail Clubbing. JAMA. 2001;286(16):1972–1973. doi:10.1001/jama.286.16.1969
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