Table of Contents

2017 Month : April Volume : 3 Issue : 1 Page : 4-6

A STUDY OF NAIL CHANGES IN PATIENTS OF CIRRHOSIS.

Shivi Nijhawan1, Anand Sharma2, Manisha Nijhawan3, Savita Agrawal4, Shubhra Shukla5

Corresponding Author:
Dr. Shivi Nijhawan,
#112, Panchsheel Enclave,
JLN Marg,
Near Hotel Clarks Amer,
Jaipur.
E-mail: shivi.nijhawan@yahoo.com

ABSTRACT

BACKGROUND

Cirrhosis is a progressive liver disease in which the normal tissue is replaced by scar tissue. Patients of cirrhosis may present with different skin and nail changes. Sometimes, nails may be the only initial signal of a systemic disease like cirrhosis.

Objective- To study the various nail changes in patients of cirrhosis with different aetiologies and to establish a correlation between the number of nails affected per patient and their chronicity of liver disease.

MATERIALS AND METHODS

A total of 100 patients of cirrhosis in both OPD and IPD were examined for nail changes, over a period of 6 months from May 2016 to December 2016. All the patients underwent full history taking and thorough general examination, complete blood counts, liver function tests and abdominal ultrasonography. All the 20 nails were examined.

RESULTS

Cirrhosis is known to be related to various pathologies in nails. 72 patients out of 100 were found to have at least one nail disorder. In our study, the most common nail finding is nail dyschromia (40%), followed by clubbing (29%) and Terry’s nails (21%). Other findings were onycholysis, onychorrhexis, subungual hyperkeratosis and Beau’s lines.

CONCLUSION

We conclude that the patients of cirrhosis can present with various nail disorders. Thus, these nail findings emphasise the importance of nail assessment as a part of physical examination in patients of cirrhosis.

KEYWORDS

Nail, Cirrhosis, Terry’s Nails.

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