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IMAGES IN ACADEMIC MEDICINE
Year : 2017  |  Volume : 3  |  Issue : 1  |  Page : 197-201

Finger nail changes: A red flag for connective tissue disease


1 Department of Family Medicine, Surgery, St. Luke's University Health Network, Bethlehem, USA
2 Department of Internal Medicine, Surgery, St. Luke's University Health Network, Bethlehem, USA
3 Department of Medicine Surgery, Surgery, St. Luke's University Health Network, Bethlehem, USA
4 Lewis Katz School of Medicine at Temple University, 3500 N Broad St, Philadelphia, Pennsylvania, USA

Correspondence Address:
Sudip Nanda
Department of Internal Medicine, St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, Pennsylvania - 18015
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2455-5568.209837

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We report a 68-year-old female who presented to the cardiology clinic with ventricular tachycardia and specific finger nail abnormalities including proximal capillary loops and proximal and periungual erythema. The patient had multiple underlying connective tissue disorders and pulmonary fibrosis. Finger nail changes are highly specific and are an indication for all healthcare providers that connective tissue diseases (CTDs) are likely underlying. We review the clinical signs and symptoms, review diagnostic criteria, and further testing to evaluate for CTDs. The following core competencies are addressed in this article: Patient care, Medical knowledge.


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