Uncle Liu is 62 years old this year, and he found that his fingers were deformed, and his friends saw that he might have itRheumatoid arthritis。He consulted a specialist in rheumatology and immunology, who said it was not rheumatoid arthritis, but clubbing, and advised him to go to the respiratory department.
After the respiratory doctor's consultation, he learned that in addition to the deformation of his fingers, Uncle Liu also had symptoms such as coughing, sputum, and blood in the sputum, and he also had a smoking history of more than 30 years, which was suspectedLung cancerHe was advised to do a CT scan, and the results confirmed the doctor's suspicions.
1. The finger grows into a clubbing, which may be a sign of lung cancer
There is a folk saying that if you put the middle fingers of both hands together, the thickening of the ends of the fingers is obviously lung cancer, in fact, there are not many people with such fingers, so is this really the case?
Actually, in medicine this kind of finger is calledClubbing, which refers to the hyperplasia and swelling of the tissues at the end of the fingers and toesThe fingers are deformed and enlarged, usually not painful.
Clubbing may be the result of a hereditary lesion or an acquired cause, usually the sameMetabolic disorders, chronic hypoxia at the end of the limbs, toxic lesionsRelate.
Clubbing is indeed associated with certain diseases and is likely to be an early manifestation of some diseases, especially lung cancer. According to statistics, the incidence of clubbing in patients with lung cancer is, but having clubbing does not necessarily mean that you have lung cancer.
Source: BMJ Best Practice, courtesy of Dr Murlidhar Rajagopalan.
Hu Yang, deputy chief physician of the Department of Respiratory Medicine, Shanghai Pulmonary Hospital, Tongji UniversityThe publication explains that clubbing and lung cancer cannot be simply equated, it can appear in many diseases, such as:
Diseases of the respiratory system
Bronchopulmonary cancer, pleural mesothelioma, bronchiectasis, empyema, lung abscess, intrapulmonary arteriovenous fistula, interstitial lung diseaseand other respiratory diseases, which can lead to clubbing.
Cardiovascular disease
Infective myocarditis, chronic congestive heart failure, bacterial endocarditis, rheumatic heart disease, pericarditis, congenital heart diseaseand other cardiovascular diseases, which can also lead to clubbing.
Digestive disorders
Intestinal tuberculosis, amoebic dysentery, Crohn's disease, chronic bacillary dysentery, intestinal polyps, ulcerative colitisand other diseases may also cause clubbing symptoms to appear.
Other diseases
In addition to these diseases, diseases such as syringomyelia, syphilis, idiopathic osteoarthropathy, and cirrhosis of the liver can also have clubbing.
2. If there are 4 abnormalities in the fingers, beware of disease or cancer signs
As the most flexible part of the human body, the hands are rich in blood vessels and sensitive peripheral nerves on the fingers, and many tasks need to be done with the hands. In fact, diseases in the upper body of the human body may also be reflected in the hands, in addition to the clubbing, if there are 2 symptoms on the hands, be alert to tumor invasion!
Finger mole mutation
If a mole on a finger or toe has abnormal changes such as bleeding, enlargement, itching, ulceration, color change, etc., it is very likelyMalignant melanoma, you should seek medical attention as soon as possible.
In addition, there is a risk of developing melanoma with black vertical lines on the nails (nail nevus).Not all nail nevi become cancerousMost are benign and do not cause undue concern.
Nodular lumps in the fingers
Be careful if you have an unexplained lump on your finger**Carcinoma, soft tissue tumors, osteosarcomaIt is best to see a doctor as soon as possible for investigation.
In addition, if you have the following 2 abnormalities in your fingers, you should be alert as a sign of disease
Finger tremors
The heart is the lifeblood of the human body, and if the heart is fragile, it may haveTrembling fingers and unsteady holding of thingsEspecially in some people with severe heart disease, the fingers rarely do not tremble.
Fingers are not straight
The palms of the two hands are facing each other, and if the fingers can't be straightened and fitted, like a prayer hand, it may beDiabetic handsLiu Min, chief physician of the Department of Endocrinology, the First Affiliated Hospital of Guangzhou University of Chinese MedicineDescription: 20% of diabetic patients will develop diabetic hands, and diabetic hands are a type of diabetic neuropathy.
3. There are 5 abnormalities in the nails, which may indicate different signs of disease
The normal nails of the human body should be tough, ruddy, smooth and shiny, and the nail base of the nail is generally grayish-white for half a moon. If there is an abnormal change in the shape and color of the nails, it is likely to indicate some disease.
Nail barbs
Barbs appear on the nails or around the nails**, mostly caused by excessive drying and separation of the stratum corneum, and the barbs can not be bitten, so as not to increase the risk of infection, it is best to use nail clippers to dispose of them, and also do a good job of moisturizing the hands.
Thickening of the nails
Be careful when your nails become thicker and brittlePachymanychia, Congenital thick nail disease is a genetic disease, and there is currently no effective method. Acquired thick nails is a kind of lesion of nail trauma, chronic nail disease or senile disease, such as fungal infection, which can lead to thick nails, and the primary disease needs to be relieved of symptoms. In addition, it is possible that the nails will become thickerPsoriasis, pityriasis rubrania pilaria, and follicular hornsand so onAccompanying symptoms.
Nails become smaller
Nail enlargement should be alert to nail atrophy, there is no effective ** method for congenital nail atrophy, and acquired nail atrophy is caused byBurns, trauma, syphilis, hyperthyroidismand other irreversible damage to methyl matter, which requires the primary disease.
Nail dimpling
The nail nail plate has a thimble-shaped depression on the surface, be carefulAlopecia areata, psoriasis, eczemaand other diseases, once it appears, it must be investigated and treated as soon as possible.
Brittle nails
There are longitudinal grooves, tears, rough and brittle surfaces on the nail surface, which may be caused by excessive soaking, use of detergent, nail art, etc., or it may beAlopecia areata, **eczema, hypothyroidism, psoriasisand other diseases.
Deformed and thickened fingers may be an early warning of diseases, such as respiratory diseases, cardiovascular diseases, etc., which can lead to clubbing. Some abnormal changes in the hands are likely to be early warning signs of illness and must be taken seriously.
References: 1] "It is best to go to the hospital to check the lungs if the hand has this deformation, there is a possibility of lung cancer, and CT must be done to rule it out".Dr. Hu Yang, Department of Respiratory Medicine. 2019-09-08
2] "Hi Popular Science] Quick self-examination!Beware of such a situation on the fingers, it may be the heart"Call for help"…》.The Second Affiliated Hospital of Wenzhou Medical University. 2022-01-14
3] "Increasing Knowledge] The palm of the hand can't be straightened?Beware of "Diabetic Hands".The First Affiliated Hospital of Guangzhou University of Chinese Medicine. 2022-02-12
Permission without the author's permission is prohibited**.