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곤봉지를 동반한 간폐증후군 1예Hepatopulmonary Syndrome with Finger Clubbing

Other Titles
Hepatopulmonary Syndrome with Finger Clubbing
Authors
김호경김원기김주한이정우정욱진권오상김주현
Issue Date
Jun-2021
Publisher
대한내과학회
Keywords
Hepatopulmonary syndrome; Liver cirrhosis; Digital clubbing
Citation
대한내과학회지, v.96, no.3, pp.236 - 240
Journal Title
대한내과학회지
Volume
96
Number
3
Start Page
236
End Page
240
URI
https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/82702
DOI
10.3904/kjm.2021.96.3.236
ISSN
1738-9364
Abstract
Hepatopulmonary syndrome is a rare lung complication of liver cirrhosis, caused by pulmonary microvascular vasodilation that induces abnormal arterial oxygenation. Typical findings on physical examination are finger clubbing and cyanosis. Dyspnea is a common symptom and is worse in the upright position. Contrast echocardiography is a useful diagnostic test. Currently, the only effective treatment is liver transplantation. We report the case of a woman with cirrhosis who has hepatopulmonary syndrome with finger clubbing, confirmed by contrast echocardiography. The patient is waiting for a liver transplant.
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