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Reversible Schamroth Sign after Pleural Tumor Resection
Simon Bossart1, Anna Rammlmair1, Eckart Haneke1
1Department of Dermatology, Inselspital, University Hospital of Bern, Bern, Switzerland.
Skin Appendage Disorders
|September 28, 2019
Summary
Sudden nail clubbing and a positive Schamroth sign can indicate underlying pulmonary disease. Early detection through this sign aids in diagnosing conditions like pleural tumors, leading to better patient outcomes.
Area of Science:
- Pulmonology
- Oncology
- Dermatology
Background:
- The Schamroth sign is a clinical indicator for nail clubbing.
- Nail clubbing is often associated with pulmonary and cardiovascular conditions.
Purpose of the Study:
- To highlight the significance of the Schamroth sign in diagnosing unexpected neoplastic diseases.
- To report a case of sudden nail clubbing and Schamroth sign linked to a pleural tumor.
Main Methods:
- Clinical observation of a patient presenting with sudden nail clubbing.
- Radiological imaging (workup) to identify the cause.
- Histopathological confirmation of a pleural tumor.
- Surgical resection of the tumor.
Main Results:
- A patient presented with a positive Schamroth sign and sudden nail clubbing.
- Radiological and histological findings confirmed a solitary fibrous tumor of the pleura.
- Post-surgical resection, nail clubbing and the Schamroth sign resolved completely.
Conclusions:
- Sudden nail changes, including a positive Schamroth sign, can be an early indicator of pulmonary malignancy.
- Increased awareness of the Schamroth sign is crucial for timely diagnosis and treatment of neoplastic diseases.
- Prompt diagnosis and intervention improve patient care and prognosis.
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