Terry’s nails in an infant with liver cirrhosis
Terry’s nails in an infant with liver cirrhosis
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肝硬化婴儿特里的指甲
DOI：
10.1136/archdischild-2021-322953
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发表时间：
2021
影响因子：
5.2
通讯作者：
Tsukahara Hirokazu
中科院分区：
文献类型：
--
作者：
Uda Kazuhiro;Tsuge Mitsuru;Shigehara Kenji;Yashiro Masato;Tsukahara Hirokazu
一名33天大的女婴因粪便颜色不佳而被送来。经实验室检查、腹部超音波及肝胆管造影检查，怀疑胆道闭锁，并将患者转至我院进行手术。胆管造影明确诊断为胆道闭锁，加塞手术在47日龄时进行，但她的黄疸持续存在。她的肝脏状况进展为肝硬化，需要肝移植。在5个月大时，在移植前评估期间，体格检查显示结膜黄疸、肝脾肿大和腹部静脉扩张。在Terry的手指上也观察到Terry的指甲，其特征是浅粉色至白色甲床和不可检测的新月形，远端有一个粉红色至红色的狭窄区域（图1）。
A 33-day-old baby girl was brought with concerns regarding acholic stool colour. After laboratory examinations, abdominal ultrasound and hepatobiliary scintigraphy, biliary atresia was suspected, and the patient was transferred to our hospital for surgery. Biliary atresia was definitively diagnosed by cholangiogram, and the Kasai procedure was performed at 47 days of age, but her jaundice persisted. Her liver condition progressed to cirrhosis requiring liver transplantation. At 5 months of age, during pretransplant evaluation, physical examination revealed conjunctival icterus, hepatosplenomegaly and distended abdominal veins. Terry’s nails, characterised by a light pink to white nail-bed and an undetectable lunula with a narrow zone of pink to red at the distal end, were also observed on her fingers (figure 1).