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棕色甲床弧影与慢性肾病。

Brown nail-bed arcs and chronic renal disease.

作者信息

Stewart W K, Raffle E J

出版信息

Br Med J. 1972 Mar 25;1(5803):784-6. doi: 10.1136/bmj.1.5803.784.

DOI:10.1136/bmj.1.5803.784
PMID:5014252
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1787697/
Abstract

A brown arc affecting the distal part of the fingernail-bed, just proximal to the point of separation of the nail from its bed, has been found in 12 out of 34 patients with chronic renal disease (35%) compared with an incidence of less than 2% in a series of unselected patients. It represents a distinctive form of pigmentation, possibly due to lipochromes. No decisive association could be found between the presence or absence of the pigmented nail arc and the level of impaired renal function. Nevertheless it seems that renal disease predisposes towards the development of brown nail arcs.

摘要

在34例慢性肾病患者中,有12例(35%)发现指甲床远端靠近指甲与甲床分离点处出现棕色弧形,而在一系列未经挑选的患者中,这一发生率低于2%。它代表一种独特的色素沉着形式,可能是由于脂色素所致。在有或无色素沉着指甲弧形与肾功能损害程度之间未发现决定性关联。然而,似乎肾病易引发棕色指甲弧形的出现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a7/1787697/66dfb221afe5/brmedj02195-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a7/1787697/66dfb221afe5/brmedj02195-0042-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7a7/1787697/66dfb221afe5/brmedj02195-0042-a.jpg

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本文引用的文献

1
A DISCOURSE ON NAIL GROWTH AND UNUSUAL FINGERNAILS.关于指甲生长及异常指甲的论述
Trans Am Clin Climatol Assoc. 1962;74:152-67.
2
The onychodermal band in health and disease.健康与疾病状态下的甲皮联合
Lancet. 1955 Jan 22;268(6856):179-81. doi: 10.1016/s0140-6736(55)91907-3.
3
White nails in hepatic cirrhosis.肝硬化中的白甲。
Lancet. 1954 Apr 10;266(6815):757-9. doi: 10.1016/s0140-6736(54)92717-8.
4
The half-and-half nail.
Arch Intern Med. 1967 Jun;119(6):583-7.
5
[Half and half nail (equisegmented azotemic fingernail)].[对半甲(均等节段性氮质血症指甲)]
Bull Soc Fr Dermatol Syphiligr. 1968;75(3):399-400.
6
Studies of lipochromes in uremic patients and normal controls. II. Isolation and identification of carotenoids and lipochromes and their oxidation products in plasma.尿毒症患者和正常对照者脂色素的研究。II. 血浆中类胡萝卜素和脂色素及其氧化产物的分离与鉴定。
Trans Am Soc Artif Intern Organs. 1970;16:272-8.