Drumstick fingers (watch glass nails)
Drumstick fingers or watch glass nails are spherical nails and end paws, which are associated with internal disorders that are accompanied by insufficient blood flow (ischemia). The underlying mechanism of drumstick fingers or watch glass nails is not known in 2018. If you notice thickenings on the fingertips and convex nails, then it is wise to consult your doctor. Treatment of drumstick fingers or watch glass nails is dictated by the underlying disease process. Drumstick fingers may be reversible if the underlying condition is treated early enough, but the changes may be irreversible once collagen deposition has started.
What are drumstick fingers
Drumstick fingers or watchglass nails were described in ancient times by Hippocrates (a Greek physician and founder of Western medicine) and is a clinical sign of a number of different disease processes (internal disorders). In the case of drumstick fingers, the fingertips are widened and the nails shiny and convex. The exact mechanism that leads to drumstick fingers is poorly understood in 2018, although it is known that it develops most often in people with heart and lung disorders.that lower the total amount of oxygen in the blood. However, drumstick fingers can also be accompanied by malignancies and some gastrointestinal disorders. Drumstick fingers can have a slow start to the point where you are not aware of the change.
It is usually painless but is sometimes accompanied by discomfort or pain in the fingertips . Rare skin conditions such as pachydermoperiostosis and palmoplantar keratoderma are rare causes of drumstick fingers.
Drumstick fingers is also known under the following names:
How often does it occur?
The exact frequency of drumstick fingers is not known in 2018.
Drumstick fingers or watch glass nails are symptoms:
a deformation of the end of the fingers
the fingertips are thickened
the cuticles disappear
the nails are spherical around the fingertips
usually both hands are affected
Drumstick fingers affect both hands. The thickening of the fingertips or toes occurs in the course of time and may not even be noticed by the person. With drumstick fingers, the layer of cells under the nails becomes soft. The nails sometimes seem to move. The nail comes at a sharper angle to the cuticle. Each affected nail runs round the finger and resembles the round part of an inverted spoon or a watch glass.
Drumstick fingers can be present in one of the five phases:
No visible drumstick fingers: shiny nails and softening of the nail bed. No visible changes of nails.
Mild drumstick fingers: loss of the normal <165 ° angle (Lovibond corner) between the nail bed and the fold (cuticle). The window of Schamroth has been erased. * Drumstick fingers are not immediately clear.
Moderate drumstick fingers: increased convexity (bulging) of the nail fold. Drumstick fingers is clear at a glance.
Serious drumstick fingers: thickening of the entire distal (end part of the) finger (looks like a drumstick).
Hypertrophic osteoarthropathy - Glossy appearance and typical widening of the fingertips and bulging of the nails.
Causes of watch glass nails
Reduced oxygen level
A specific cause of drumstick fingers or watch glass nails is not known in 2018. In general, this phenomenon occurs in lung and heart conditions that lower blood oxygen levels, such as:
congenital heart disease
chronic lung infections caused by bacteria or fungi
bacteria or fungi that infect the inner lining of heart and heart valves
lung diseases with swelling and scarring in the lungs
Chronic lung problems and heart disease
More than three quarters of the cases are related to chronic lung problems. Cardiovascular diseases (heart and blood vessels) play a role in roughly 15% of cases. And about 10 percent is associated with constantly recurring liver and stomach disorders . Drumstick fingers or watch glass nails can also be related to a number of other conditions, such as celiac disease, dysentery (a severe form of diarrhea , often involving blood and mucus in the stool ), hyperthyroidism (too fast thyroid gland) and some forms of cancer, such as liver cancer and gastric cancer .