اضطرابات الأظافر عند مرضى الطب الداخلي: الانتشار والدور الممكن في التشخيص

Authors

  • محمود دلول

Abstract

تستخدم اضطرابات الأظافر بشكل تقليدي في المساعدة في التشخيص. ولكن فائدتها مع ذلك غير معروفة بشكل عام وكذلك قيمتها التنبئية بشكل خاص.

كان هدفنا من هذه الدراسة مسح تبدلات الأظافر وتوضيح أهمية تبدلات الأظافر في تشخيص الأمراض الداخلية.

تم فحص أظافر اليدين عند 592 مريضاً تم قبولهم في قسم الأمراض الداخلية في مشفى الأسد الجامعي في اللاذقية. تم حساب نسب الانتشار على أساس توزيع ثنائي الحد.

أكثر الموجودات شيوعاً كانت غياب الهليل (25.9%[22.5-29.5])، الأظافر البيضاء (16.1% [13.0-19.1])، تكسر الأظافر (8.5% [7.5-9.1]. شوهدت الترافقات الهامة التالية: المرض الرئوي والتعجر (النسبة الترجيحية [OR]=4.2، مجال الثقة 95%[CI]=1.6-9.8)، المرض الدموي وتكسر الأظافر (OR = 4.6، 95%CI = 1.6-13.7)، المرض الدموي وأظافر تيري (OR = 8.4، 95%CI = 2.6-26.2)، والمرض المعدي المعوي والأظافر الكلابية (OR = 32.4، 95%CI = 3.9-304.4).

تم تحديد بضعة ترافقات هامة، مما يشير إلى أن اضطرابات الأظافر قد تكون مفتاح التشخيص في الأمراض الداخلية المزمنة. قلما وصف الترافق بين المرض المعدي المعوي والأظافر الكلابية في السابق.

Nail changes have traditionally been used as diagnostic aids. Their usefulness in general and predictive value in particular, however, is not known.

Our purpose was to survey nail changes and to clarify the potential of nail abnormalities to diagnose internal diseases.

The fingernails of  592 patients admitted to internal medicine in Al-Aasad University Hospital in Lattakia were examined. The point prevalence rates were calculated on the basis of binomial distribution.

The most common finding were absence of lunulae (25.9% [22.5% to 29.5%]), white nails (16.1% [13.0% to 19.1%]), and brittle nails (8.3% [7.5% to 9.1%]). The following significant associations were noted: pulmonary disease and clubbing (odds ratio [OR] = 4.2, 95% confidence interval [CI] = 1.6 to 9.8), hematologic disease and brittle nails (OR = 4.6, 95%CI = 1.6 to 13.7), hematologic disease and Terry nails (OR = 8.4, 95%CI = 2.6 to 26.2),gastrointestinal disease and pincer nails (OR = 32.4, 95%CI = 3.9 to 304.4).

Several significant associations were identified, suggesting that nail abnormalities can be diagnostic clues in the diagnosis of chronic internal diseases. An association between pincer nails and gastrointestinal disease has been rarely described.

Downloads

Published

2019-02-11

How to Cite

1.
دلول م. اضطرابات الأظافر عند مرضى الطب الداخلي: الانتشار والدور الممكن في التشخيص. Tuj-hlth [Internet]. 2019Feb.11 [cited 2024May4];25(2). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/8110

Issue

Vol. 25 No. 2 (2003): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)