Association of Terry Nails With Liver Cirrhosis

Academic Article


  • 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.
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    Digital Object Identifier (doi)

    Author List

  • Sack JS; Liu AF; Gray M; Roat J; Zucker SD
  • Start Page

  • 2455
  • End Page

  • 2458
  • Volume

  • 116
  • Issue

  • 12