Volume 108, Issue 6, Pages (December 1995)

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Volume 108, Issue 6, Pages 1751-1752 (December 1995) Digital Clubbing Associated With Polymyositis and Interstitial Lung Disease Kurt W. Grathwohl, MC, USA, James W. Thompson, MC, USA, Bernard J. Roth, MC, USA, FCCP, Thomas A. Dillard, MC, USA, FCCP, Kathyrn K. Riordan, MC, USA CHEST Volume 108, Issue 6, Pages 1751-1752 (December 1995) DOI: 10.1378/chest.108.6.1751 Copyright © 1995 The American College of Chest Physicians Terms and Conditions

FIGURE 1 Finger clubbing with PM/DM associated with ILD. Objective findings of clubbing5 include increased hyponychial angles and phalangeal depth ratios. The hyponychial angle is formed by a line connecting the dorsal surface of the distal interphalangeal joint and the cuticle and a line joining the cuticle and the hyponychium (normal, <195 degrees). The phalangeal depth ratio consists of the thickness of the fingertip at the cuticle divided by the thickness of the finger at the distal interphalangeal joint (normal, <1.0). CHEST 1995 108, 1751-1752DOI: (10.1378/chest.108.6.1751) Copyright © 1995 The American College of Chest Physicians Terms and Conditions