Like the anaemia, clubbing of the fingernails is associated with prolonged infective endocarditis. We aren't entirely sure almost the mechanism bringing up the rear it. What we do know is that it relates to increasing blood flow in the clubbed nouns, and that is credible due to dilation of the blood vessels here. No one can really agree as to why this happens.
anemia is cause by hemolysis of red blood cells(haemolytic type of anemia) the clubbing is a late sign contained by the sub acute presentation but i don't know why it happen
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