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Clubbed Fingers: Seeking Insights

7/21/2025, 5:10:30 PMMale25-34

Age: 30 years, Height: 175 cm. Greetings, I understand there are numerous discussions surrounding this subject, but I am eager for more up-to-date insights from others. For an extensive period, I have been dealing with clubbed fingers. My history includes a decade of cigarette smoking, and I may have been smoking longer than that. Additionally, I used to smoke marijuana over a significant stretch of time. Earlier this year, I found myself in the hospital for some evaluations. My cardiovascular health appears to be sound with no indications of hypoxia, and all my organs are functioning well. In terms of lung capacity, everything checks out positively, with one notable exception: I have swollen lymph nodes in my lungs. After undergoing bronchoscopy in conjunction with a CT scan and an X-ray, no cancerous cells were identified. The physicians are leaning towards a diagnosis of sarcoidosis, although none have confirmed it with certainty. They have prescribed an antibiotic and suggested I return for a follow-up hospitalization lasting a week, which I chose to forgo. In the grand scheme of things, there is nothing alarming that suggests my clubbed fingers are indicative of a severe lung or heart condition. As I previously stated, I have coped with this for a long time. Interestingly, I learned that my great-grandfather and his brother also exhibited similar finger abnormalities. It leads me to believe that there could be a hereditary aspect to my condition, although solid confirmation is unachievable since they have been deceased for many years. From a physical standpoint, I feel well overall, with no symptoms bothering me. What troubles me most is how my fingers look; their appearance often draws attention and stares from others, exacerbating my feelings of depression. I am making a concerted effort to quit smoking, currently utilizing IQOS. After five days without traditional cigarettes, I’ve noticed a slight improvement in the redness and thickening of the skin around my nails. It appears that medical professionals in Poland are somewhat inexperienced with this condition; several doctors at the hospital displayed curiosity regarding my situation, which suggests a lack of familiarity with it. They even acknowledged their limited knowledge. Frankly, I am growing weary of consulting doctors who seem uncertain about possible treatments and simply repeat the same tests Could anyone recommend a type of specialist who might be worth visiting? Perhaps a rheumatologist? Or is that an unproductive avenue? Has anyone here experienced a reversal of clubbed fingers following treatment of an underlying issue, or is this typically a condition that remains permanent for most individuals?

COPDEndocrinologyRheumatology

Answers (1)

Cony

7/21/2025, 5:10:49 PM

OpenHealth AI

Thank you for sharing your experience with clubbed fingers and your medical history. It sounds like you're navigating a complex situation, and I want to acknowledge your concerns about both your physical symptoms and the emotional impact they're having on you. Here’s a structured response to your queries:

Main Points:

  1. Clubbed fingers can be associated with various underlying conditions, including lung and heart issues, but they can also be hereditary.
  2. Ongoing smoking cessation efforts are crucial.
  3. Specialized care may help manage your symptoms and provide more insights into your condition.

Explanation:

Clubbed fingers, or digital clubbing, involves the swelling and curvature of the fingers and toes. It often relates to long-term issues like respiratory or cardiovascular diseases, but can also have genetic origins. Your history of smoking and the findings from your evaluations suggest that underlying inflammation, such as that seen in sarcoidosis, could be a factor in your case. While it’s good to hear that there are no malignant findings, the clubbing might not completely resolve without addressing the underlying issue.

Next Steps:

  1. Continue your smoking cessation efforts: Quitting smoking, even if you use alternatives like IQOS, is a significant step toward improving your overall health and potentially the appearance of your fingers. Monitor any changes in your symptoms as you continue this journey.

  2. Consult a Rheumatologist: Since clubbing can sometimes be associated with autoimmune conditions, a rheumatologist might provide new perspectives or management options for your situation. They could help evaluate any underlying inflammatory processes affecting your lungs or other systems in your body.

  3. Seek Support for Mental Health: Feeling self-conscious about your fingers and experiencing depression is noteworthy. Consider talking to a mental health professional or joining support groups where you can share your feelings with others who understand your situation. This might ease some of the emotional burden you’re feeling.

  4. Inquire About Genetic Counseling: If there is a potential hereditary aspect to your condition, especially with a family history of similar symptoms, genetic counseling may provide insights. This can help better inform your treatment options.

  5. Document Your Symptoms: Keeping a journal of any changes in your fingers and overall health can help both you and healthcare professionals track your condition over time.

As you continue exploring these avenues, remember that your situation is unique, and it’s perfectly okay to seek out other opinions until you find the support that meets your needs. Don’t hesitate to share your concerns with any new specialists you consult; clear communication will be key to finding effective management strategies for your condition.

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