TY - JOUR
T1 - Association of Terry Nails With Liver Cirrhosis
AU - Sack, Jordan S.
AU - Liu, Anne F.
AU - Gray, Meagan
AU - Roat, James
AU - Zucker, Stephen D.
N1 - Publisher Copyright:
© 2021 Wolters Kluwer Health. All rights reserved.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - INTRODUCTION:We looked at the association between Terry nails and liver cirrhosis in an ambulatory population from hepatology and gastroenterology clinics.METHODS:We prospectively investigated the prevalence and determinants of Terry nails in 1,000 consecutive patients from hepatology and gastroenterology clinics at 2 institutions between May 2016 and February 2020.RESULTS:A total of 117 subjects manifested Terry nails, with a 25.6% prevalence in patients with cirrhosis. When adjusted for age, heart failure, diabetes mellitus type 2, and chronic liver disease, cirrhosis was the only significant correlate (odds ratio 5.7 [95% confidence interval 3.3-9.8]), irrespective of liver disease etiology, with a strong association with hepatic fibrosis stage (P < 0.0001).DISCUSSION:Sensitivity and specificity of Terry nails for cirrhosis (25.8%, 92.7%) was similar to palmar erythema but less than spider angioma.
AB - INTRODUCTION:We looked at the association between Terry nails and liver cirrhosis in an ambulatory population from hepatology and gastroenterology clinics.METHODS:We prospectively investigated the prevalence and determinants of Terry nails in 1,000 consecutive patients from hepatology and gastroenterology clinics at 2 institutions between May 2016 and February 2020.RESULTS:A total of 117 subjects manifested Terry nails, with a 25.6% prevalence in patients with cirrhosis. When adjusted for age, heart failure, diabetes mellitus type 2, and chronic liver disease, cirrhosis was the only significant correlate (odds ratio 5.7 [95% confidence interval 3.3-9.8]), irrespective of liver disease etiology, with a strong association with hepatic fibrosis stage (P < 0.0001).DISCUSSION:Sensitivity and specificity of Terry nails for cirrhosis (25.8%, 92.7%) was similar to palmar erythema but less than spider angioma.
UR - http://www.scopus.com/inward/record.url?scp=85124435300&partnerID=8YFLogxK
U2 - 10.14309/ajg.0000000000001492
DO - 10.14309/ajg.0000000000001492
M3 - Article
C2 - 34459471
AN - SCOPUS:85124435300
SN - 0002-9270
VL - 116
SP - 2455
EP - 2458
JO - American Journal of Gastroenterology
JF - American Journal of Gastroenterology
IS - 12
ER -