Digital Clubbing and Hodgkin Disease in Children

Digital clubbing as the initial presentation of lymphoma is rarely reported, particularly in children. In this study, we report an intrathoracic Hodgkin lymphoma patient with digital clubbing as the first presentation and we will review the current literature regarding the same condition.

A 10-years-old boy presented with a 2-month history of cough, mild dyspnea and night sweats, with obvious digital clubbing. A chest X-ray and a computed tomography (CT) scan of the chest showed multiple mediastinal mass. Lymph node biopsy was done. Pathology determined a diagnosis of nodular sclerosis Hodgkin lymphoma.

In patients with digital clubbing, intrathoracic malignancies should be considered as a differential diagnosis and must be ruled out by precise examination and paraclinical help.