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Club fingers


catharine westlake

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catharine westlake Newbie

Can club fingers be a symptom of coeliac disease?


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plumbago Experienced

In terms of the clubbing shape, how it happens is actually a complex process. But usually nail clubbing occurs as a result of deficiency of oxygen to the body's tissues.

knitty kitty Grand Master

Welcome to the forum, @catharine westlake!

Yes, hypoxia (not getting enough oxygen) can cause clubbing in the fingers.  

Hypoxia can occur in subclinical Thiamine deficiency.  Thiamine Vitamin B 1 is needed to help carry oxygen around the body.  If one is low in Thiamine clubbing can result.  

My fingers showed clubbing when I experienced Thiamine deficiency, but they have returned to normal after supplementing with Thiamine in the form called Benfotiamine.  

Celiac Disease causes damage to the small intestine where essential vitamins and minerals are absorbed.  Nutritional deficiencies can result, and, unfortunately, can easily be overlooked or attributed to other symptoms.  Thiamine Vitamin B 1 simply runs out first, but do get checked for other deficiencies in B12 and Folate, too.

Ask for an Erythrocyte Transketolase test which tests for how well Thiamine is being utilized in the body.  

Hope this helps!

Thiamine deficiency disorders: a clinical perspective

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451766/

trents Grand Master

Yes. 

"Other conditions related to digital clubbing

Ascariasis. A roundworm infection of your intestines.

Celiac disease. An autoimmune disease that can damage your small intestine." https://my.clevelandclinic.org/health/diseases/23957-clubbed-fingers

captaincrab55 Collaborator

Here's a general reply to a simple search that includes Celiac Disease:  

People also ask

What is Club fingers a symptom of?

Clubbed fingers is a symptom of disease, often of the heart or lungs which cause chronically low blood levels of oxygen. Diseases which cause malabsorption, such as cystic fibrosis or celiac disease can also cause clubbing. Clubbing may result from chronic low blood-oxygen levels

Scott Adams Grand Master

Clubbing of the fingers is not typically associated with celiac disease. Clubbing of the fingers is more commonly associated with certain respiratory and cardiovascular conditions.

knitty kitty Grand Master
(edited)

"While clubbing is associated with many pathologies, it may also be observed with malnutrition, chronic alcohol use disorder, and chronic laxative use, often seen in individuals with eating disorders."

Nutritional Assessment

https://www.ncbi.nlm.nih.gov/books/NBK580496/?report=reader

 

"Review of the literature indicates that between 75 and 80% of cases are associated with chronic pulmonary diseases; 10 to 15% are associated with cardiovascular diseases; 5 to 10% with chronic hepatic and gastrointestinal disorders; and 5 to 10% with miscellaneous disorders."

https://www.ncbi.nlm.nih.gov/books/NBK366/

And...

https://www.mountsinai.org/health-library/symptoms/clubbing-of-the-fingers-or-toes

And...

https://www.researchgate.net/publication/340070700_ATYPICAL_CELIAC_DISEASE_PRESENTING_WITH_CLUBBING

"In our case, there were impairment of finger and iron

deficiency anemia which did not improve with replacement.

After the diagnosis of atypical celiac disease, a gluten-free diet

was started and symptoms rapidly regressed."

Edited by knitty kitty
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Wheatwacked Veteran

     Kwashiorkor.   protein deficiency.  Around 1969 the Biafran Relief Society was convinced to buy the modern wheat; developed by Norman Borlaug (who recieved the Nobel Prize in 1970); instead of the rice flour they had been buying.  Shortly afterwards we started seeing newspaper images of the famine in Biafra, now Nigeria. It was attributed to protein deficiency Kwashiorkor.  It would not be good to blame the wheat with a Nobel Prize at stake.     In 1976 when my just weaned infant son looked like this I recognized the image.  He was diagnosed with Celiac Disease after several biopsies.  A few months of Nutramigen followed by gluten free diet when weaned and he grew up healthy and strong.

BiafraBaby.webp.4cbf802b23e4f87ef6db3956eadeb9df.webp

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    • trents
      Welcome to the celiac.com communiuty, @Matthias! Yes, we have been aware that this can be an issue with mushrooms but as long as they are rinsed thoroughly it should not be a problem since the mushrooms don't actually incorporate the gluten into their cellular structure. For the same reason, one needs to be careful when buying aged cheeses and products containing yeast because of the fact that they are sometimes cultured on gluten-containing substrate.
    • Matthias
      The one kind of food I had been buying and eating without any worry for hidden gluten were unprocessed veggies. Well, yesterday I discovered yet another pitfall: cultivated mushrooms. I tried some new ones, Shimeji to be precise (used in many asian soup and rice dishes). Later, at home, I was taking a closer look at the product: the mushrooms were growing from a visible layer of shredded cereals that had not been removed. After a quick web research I learned that these mushrooms are commonly cultivated on a cereal-based medium like wheat bran. I hope that info his helpful to someone.
    • trents
      I might suggest you consider buckwheat groats. https://www.amazon.com/Anthonys-Organic-Hulled-Buckwheat-Groats/dp/B0D15QDVW7/ref=sr_1_4_pp?crid=GOFG11A8ZUMU&dib=eyJ2IjoiMSJ9.bk-hCrXgLpHqKS8QJnfKJLKbKzm2BS9tIFv3P9HjJ5swL1-02C3V819UZ845_kAwnxTUM8Qa69hKl0DfHAucO827k_rh7ZclIOPtAA9KjvEEYtaeUV06FJQyCoi5dwcfXRt8dx3cJ6ctEn2VIPaaFd0nOye2TkASgSRtdtKgvXEEXknFVYURBjXen1Nc7EtAlJyJbU8EhB89ElCGFPRavEQkTFHv9V2Zh1EMAPRno7UajBpLCQ-1JfC5jKUyzfgsf7jN5L6yfZSgjhnwEbg6KKwWrKeghga8W_CAhEEw9N0.eDBrhYWsjgEFud6ZE03iun0-AEaGfNS1q4ILLjZz7Fs&dib_tag=se&keywords=buckwheat%2Bgroats&qid=1769980587&s=grocery&sprefix=buchwheat%2Bgroats%2Cgrocery%2C249&sr=1-4&th=1 Takes about 10 minutes to cook. Incidentally, I don't like quinoa either. Reminds me and smells to me like wet grass seed. When its not washed before cooking it makes me ill because of saponins in the seed coat. Yes, it can be difficult to get much dietary calcium without dairy. But in many cases, it's not the amount of calcium in the diet that is the problem but the poor uptake of it. And too much calcium supplementation can interfere with the absorption of vitamins and minerals in general because it raises gut pH.
    • Scott Adams
      What you’re describing really does not read like typical IBS-D. The dramatic, rapid normalization of stool frequency and form after removing wheat, along with improved tolerance of legumes and plant foods, is a classic pattern seen in gluten-driven disease rather than functional IBS. IBS usually worsens with fiber and beans, not improves. The fact that you carry HLA-DQ2.2 means celiac disease is absolutely possible, even if it’s less common than DQ2.5, and many people with DQ2.2 present later and are under-diagnosed. Your hesitation to reintroduce gluten is completely understandable — quality of life matters — and many people in your position choose to remain strictly gluten-free and treat it as medically necessary even without formal biopsy confirmation. If and when you’re ready, a physician can help you weigh options like limited gluten challenge, serology history, or documentation as “probable celiac.” What’s clear is that this wasn’t just random IBS — you identified the trigger, and your body has been very consistent in its response.
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