Association of Terry Nails With Liver Cirrhosis
Autor: | Anne F Liu, Jordan Sack, Stephen D. Zucker, Meagan Gray, James Roat |
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Rok vydání: | 2021 |
Předmět: |
Liver Cirrhosis
Male medicine.medical_specialty Cirrhosis Population Chronic liver disease Gastroenterology Nail Diseases Liver disease Palmar erythema Internal medicine Prevalence medicine Humans Prospective Studies education education.field_of_study integumentary system Hepatology business.industry Odds ratio Middle Aged medicine.disease United States Nails Female medicine.symptom Spider angioma business Follow-Up Studies |
Zdroj: | American Journal of Gastroenterology. 116:2455-2458 |
ISSN: | 1572-0241 0002-9270 |
DOI: | 10.14309/ajg.0000000000001492 |
Popis: | INTRODUCTION We looked at the association between Terry nails and liver cirrhosis in an ambulatory population from hepatology and gastroenterology clinics. METHODS We prospectively investigated the prevalence and determinants of Terry nails in 1,000 consecutive patients from hepatology and gastroenterology clinics at 2 institutions between May 2016 and February 2020. RESULTS A total of 117 subjects manifested Terry nails, with a 25.6% prevalence in patients with cirrhosis. When adjusted for age, heart failure, diabetes mellitus type 2, and chronic liver disease, cirrhosis was the only significant correlate (odds ratio 5.7 [95% confidence interval 3.3-9.8]), irrespective of liver disease etiology, with a strong association with hepatic fibrosis stage (P < 0.0001). DISCUSSION Sensitivity and specificity of Terry nails for cirrhosis (25.8%, 92.7%) was similar to palmar erythema but less than spider angioma. |
Databáze: | OpenAIRE |
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