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Clubbing and hypoxia in an adolescent male
  1. Josie Bradford,
  2. Gary James Connett
  1. University Hospital Southampton NHS Trust, Southampton, UK
  1. Correspondence to Professor Gary James Connett, Southampton University Hospitals NHS Trust, Southampton, Hants, UK; gary.connett{at}

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A 16-year-old male was referred to the haematologists to investigate his digital clubbing and polycythaemia (haemoglobin 171 g/L). He had no significant respiratory symptoms. On examination, he was obviously clubbed and had conjunctival congestion (figure 1). Oxygen saturations were 90%. An echocardiogram was normal. He was referred to the respiratory team for further investigation. His chest X-ray showed a subtle, increased opacity in the …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.