Association of Terry Nails With Liver Cirrhosis

Autor: Anne F Liu, Jordan Sack, Stephen D. Zucker, Meagan Gray, James Roat
Rok vydání: 2021
Předmět:
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