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Updated: Jun 11, 2025

Non-Invasive Visualization of Nailbed Microvascular Morphology in Mice Using Capillaroscopy
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[指甲俱乐部] [指甲俱乐部]

Jean Regina1, Mallory Moret Bochatay2

  • 1Service de médecine interne, Département de médecine, Centre hospitalier universitaire vaudois, 1011 Lausanne.

Revue medicale suisse
|October 3, 2024
PubMed
概括
此摘要是机器生成的。

指甲是慢性阻塞性肺病 (COPD) 恶化的罕见迹象,导致在一名78岁的吸烟者身上发现了潜在的小细胞肺癌. 这一案例凸显了调查罕见的临床症状对于早期癌症检测的重要性.

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科学领域:

  • 肺部病理学 肺部病理学
  • 在瘤学瘤学.
  • 临床医学 临床医学

背景情况:

  • 慢性阻塞性肺病 (COPD) 的恶化很常见,特别是在吸烟者中.
  • 爪是不常见的身体发现,仅与COPD有着罕见的记录.
  • 调查非典型症状对于发现潜在病理至关重要.

研究的目的:

  • 报告一例罕见的COPD恶化患者的指甲撞击病例.
  • 为了说明由一个不寻常的临床标志启动的诊断途径.
  • 为了强调钉钉和潜在的肺癌之间的联系.

主要方法:

  • 临床检查患者出现COPD恶化.
  • 诊断评估,包括检查是否有指甲的身体检查 (下角,Schamroth标志).
  • 进一步的调查包括肺部CT扫描和活检可疑恶性瘤.

主要成果:

  • 一名78岁的男性吸烟者患有严重的COPD (GOLD 3E),呈现出恶化.
  • 身体检查显示有大量的指甲.
  • 随后的调查发现了一个周围的hilar质量,通过活检确认为小细胞肺癌.

结论:

  • 指甲,虽然在COPD中很少见,但可以是潜在肺癌的指标.
  • 这一案例强调了在遇到不常见的临床症状时,彻底检查病史和诊断工作的必要性.
  • 早期检测肺癌,可能有助于识别微妙的物理发现,如指甲俱乐部,至关重要.