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Development of Terry's nails after a gastrointestinal bleed
Christine P Lin1, Mahmud Alkul1, Jay M Truitt2
1School of Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Proceedings (Baylor University. Medical Center)
|March 8, 2021
Summary
Terry's nails, a sign of liver cirrhosis, can also indicate other serious health issues. This case highlights their appearance after a gastrointestinal bleed, a previously unreported cause.
Area of Science:
- Dermatology
- Internal Medicine
- Clinical Case Study
Background:
- Terry's nails present as leukonychia with proximal nail bed whitening and distal sparing.
- Initially linked to hepatic cirrhosis, this nail finding is now associated with conditions like heart failure, kidney disease, diabetes, and malnutrition.
Observation:
- A 77-year-old male patient developed characteristic Terry's nails.
- This nail abnormality manifested subsequent to an acute gastrointestinal bleed and hemorrhagic shock.
Findings:
- The case presents the first reported instance of Terry's nails developing after a gastrointestinal bleed.
- This suggests a broader spectrum of underlying conditions associated with this nail sign.
Implications:
- Terry's nails may serve as a potential indicator for gastrointestinal bleeding and associated shock.
- Recognition of this association can aid in early diagnosis and management of critical conditions.
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