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Common causes of clubbing

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Common causes of finger clubbing can be divided up according to the system with primary pathology:

  • cardiovascular causes:
    • cyanotic congenital heart disease
    • infective endocarditis

  • respiratory causes:
    • lung carcinoma - usually squamous cell carcinoma
    • pulmonary fibrosis, especially fibrosing alveolitis
    • cystic fibrosis
    • chronic pulmonary suppuration:
      • bronchiectasis
      • empyema
      • lung abscess

The clubbing seen with bronchogenic carcinoma is often part of a hypertrophic osteoarthropathy.

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