HomeAnswersCardiologynail clubbingI suspect of having early nail clubbing. Please help.

Why do I have nail clubbing?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At January 21, 2018
Reviewed AtFebruary 15, 2024

Patient's Query

Hello doctor,

Does this look like an early nail clubbing? I came across something on the internet and started looking at my nails. I did a Schamroth test and I have a very small window. I am a bit concerned.

Hello,

Welcome to icliniq.com.

Nail clubbing is present if oxygen saturation is low or if there is an increase in reduced hemoglobin for a long time. All clinical tests like Schamroth have its own drawback. So do not rely on Schamroth. Clubbing can occur without any disease. You need to get one arterial blood gas test. Kindly send the photos of your fingers and toes.

Patient's Query

Thank you doctor,

Is arterial gas same as pulse oximetry? I had a physical a month ago and I know my pulse oxygen was 99 %. I have attached photos of my hands.

Hello,

Welcome back to icliniq.com.

I have gone through the attachments (attachment removed to protect patient identity). It does not appear to be clubbing. Oximetry and other parameters are normal.

Patient's Query

Hello doctor,

Thank you very much for your reply.

Hello,

Welcome back to icliniq.com.

You are most welcome. No, it is not clubbing. So, do not worry.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sanjib Kumar Sahu
Dr. Sanjib Kumar Sahu

Cardiology

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