Advertisement

Terry's Nails Due to Uncontrolled Diabetes Mellitus

  • Mizuka Masunaga
    Correspondence
    Requests for reprints should be addressed to Junki Mizumoto. MD, Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongou, Bunkyo-ku, Tokyo, 113-0033 Japan.
    Affiliations
    Center for Medical Training, Ehime Seikyo Hospital, Japan
    Search for articles by this author
  • Junki Mizumoto
    Affiliations
    Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Japan
    Search for articles by this author
Published:January 08, 2021DOI:https://doi.org/10.1016/j.amjmed.2020.12.016
      A 35-year-old Japanese woman presented with nausea and frequent vomiting that had begun the previous day. She was slightly confused. Laboratory blood testing revealed a plasma glucose level of 319 mg/dL and serum hemoglobin A1c level of 11.4%. Venous blood gas analysis revealed a pH of 7.33, bicarbonate level of 19.6 mmol/L, sodium level of 144 mEq/L, chloride level of 103 mEq/L, and anion gap of 21.4. The patient was thus diagnosed with diabetic ketoacidosis, admitted to the hospital, and treated with insulin and intravenous fluids. Her condition improved and she was discharged on day 27.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Terry R
        White nails in hepatic cirrhosis.
        Lancet. 1954; 266: 757-759
        • Witkowska AB
        • Jasterzbski TJ
        • Schwartz RA
        Terry's nails: a sign of systemic disease.
        Indian J Dermatol. 2017; 62: 309-311
        • Khalil H
        Diabetes microvascular complications-A clinical update.
        Diabetes Metab Syndr. 2017; 11: S133-S139