Lin Christine P, Alkul Mahmud, Truitt Jay M, Stetson Cloyce L
School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Department of Dermatology, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proc (Bayl Univ Med Cent). 2020 Nov 9;34(2):312-313. doi: 10.1080/08998280.2020.1842078.
Terry's nails are characterized by white opacification of the nails with effacement of the lunula and distal sparing. Described originally in 1954 by Dr. Richard Terry as a common fingernail abnormality in patients with hepatic cirrhosis, Terry's nails are now a known sequelae of other conditions such as congestive heart failure, chronic kidney disease, diabetes mellitus, and malnutrition. Often all nails of the hands are affected. Treatment of the underlying disease may result in resolution. We present a case of a 77-year-old man who developed Terry's nails following an acute gastrointestinal bleed and subsequent hemorrhagic shock. The development of Terry's nails after a gastrointestinal bleed has not been previously reported.
泰瑞氏指甲的特征是指甲呈现白色浑浊，甲半月消失且远端保留。1954年由理查德·泰瑞医生首次描述为肝硬化患者常见的指甲异常，如今泰瑞氏指甲是充血性心力衰竭、慢性肾病、糖尿病和营养不良等其他病症的已知后遗症。双手的指甲通常都会受累。治疗潜在疾病可能会使其消退。我们报告一例77岁男性患者，在急性胃肠道出血及随后的失血性休克后出现了泰瑞氏指甲。此前尚未有胃肠道出血后出现泰瑞氏指甲的报道。
