the .gov means it’s official. the site is secure. background: liver cirrhosis, hepatitis c virus (hcv) and hepatitis b (hbv) virus infections are known to be associated with different skin disorders.
objective: to record the nail abnormalities in patients with liver disease which were not reported before, especially those with hcv and hbv infection. patients and methods: the study comprised 100 patients with hcv, hbv and liver cell failure, and 100 normal healthy controls. results: nail changes were more prevalent in patient group (68%) than in the control group (35%). conclusion: nail changes are observed with not only liver cirrhosis but also with hcv and hbv infection, and this will add additional clinical criteria for general practitioners and dermatologists to help them with diagnosis of these common systemic infections.
a 61 year old man with alcoholic cirrhosis presented with worsening ascites, dyspnea, and unsteadiness of five months duration. with this ground-glass-like discoloration, the border of the lunula cannot be seen. the distal 1-2 mm of each of the patient’s nails are a red-brown color.
the proximal ground-glass discoloration of this patient’s fingernails which obscures the border of the lunula and the red-brown horizontal bands on the patient’s distal fingernail tips are characteristic of terry’s nails. histopathologic studies of terry’s nails have also shown changes in nailbed vascularity with distal telangiectasias in the upper dermis(2). this case highlights the importance and utility of inspecting patients’ hands and fingernails, which can reveal early signs of systemic disease.
terry’s nails can sometimes be attributed to aging. in other cases, terry’s nails can be a sign of a serious underlying condition, such as liver disease, both terry’s nails and lindsay’s nails can be signs of an underlying condition. people with liver disease are more likely to have terry’s nails. nail changes are observed with not only liver cirrhosis but also with hcv and hbv infection, and this will add additional clinical criteria for general, .
terry nails are commonly seen in patients with liver cirrhosis, as well as in patients with other chronic diseases including congestive if the nails are mostly white with darker rims, this can indicate liver problems, such as hepatitis. in this image, you can see the fingers are the condition is most common in people with liver disease and cirrhosis, or scarring, of the liver. in 1954trusted source , richard terry found, .
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