Rosales Figueroa José David, Chang Patricia
Centro Clínico Reforma, Ciudad de Guatemala, Guatemala.
Hospital General de Enfermedades IGSS, Ciudad de Guatemala, Guatemala.
Skin Appendage Disord. 2018 Oct;4(4):264-267. doi: 10.1159/000487898. Epub 2018 Apr 24.
Brachyonychia is a rare manifestation in patients with chronic kidney disease. Longtime disease, secondary hyperparathyroidism, and hemodialysis are common conditions among those who present it. We evaluated 8 cases who presented brachyonychia in the nephrology department and compared the clinical versus the radiographic findings, and evaluated how the tissue adjusts to the underlying bone structure, giving different forms to the nails. We conclude that brachyonychia and acroosteolysis in chronic kidney disease suggest long-term disease, secondary hyperparathyroidism, and hemodialysis, besides it being a good model on how the bony structure defines the soft tissue morphology.
短指（趾）甲是慢性肾脏病患者的一种罕见表现。病程较长、继发性甲状旁腺功能亢进和血液透析是出现短指（趾）甲的患者的常见情况。我们评估了在肾病科出现短指（趾）甲的8例患者，比较了临床和影像学表现，并评估了组织如何适应潜在的骨骼结构，从而使指甲呈现出不同形态。我们得出结论，慢性肾脏病中的短指（趾）甲和肢端骨质溶解提示病程较长、继发性甲状旁腺功能亢进和血液透析，此外，它还是一个关于骨骼结构如何定义软组织形态的良好模型。
