Digital clubbing is very important and ancient clinical signs in medicine. Although most of the time clubbed fingers are asymptomatic and exact pathogenesis is not known. The Thyroid acropachy is uncommon sign of autoimmune thyroid disorders. We present a rare case of Hypothyroidism associated with clubbing. A 45 year old male with severe degree of clubbing in fingers and toes along with markedly increased thyroid stimulating hormone levels. Patient also had severe Dyslipidaemia. Patient was managed with L-Thyroxine and Atorvastatin, Finofibrates showed marked improvement in symptoms.

Keywords : Clubbing, Acropachy, Hypothyroidism.