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Indian Journal of Emergency Medicine

Volume  5, Issue 4, October-December 2019, Pages 255-257


Case Report

Clubbing An Initial Pointer Towards Diagnosis of Malignancy
Syed Mohsin Ishaq1, Apoorv Singhal2, Praveen Raman Mishra3, VPS Puniya4, Shan Khan5, Mehak Lamba6
1Senior Resident 2,3Junior Resident 4Professor 5Resident 6Assistant Professor, Department of Internal Medicine, Sharda University, Knowledge Park III, Greater Noida, Uttar Pradesh 201310, India.
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Clubbing is one of the ancient signs in clinical medicine since the time of Hippocrates. Its pathogenesis is said to be associated with platelet derived growth factor and vascular endothelial growth factor but exactly mechanism behind this is still unknown. We present a case of 55-years-old male admitted with complaints of fever, cough, pain and swelling of fingers. On examination he had Grade 4 clubbing and radiography revealed left upper lobe opacity with malignant features and subsequently bronchoscopy confirmed the diagnosis of squamous cell carcinoma.

Keywords: Clubbing, squamous cell carcinoma, HOA

Corresponding Author : Syed Mohsin Ishaq