곤봉지를 동반한 간폐증후군 1예Hepatopulmonary Syndrome with Finger Clubbing
- Other Titles
- Hepatopulmonary Syndrome with Finger Clubbing
- Authors
- 김호경; 김원기; 김주한; 이정우; 정욱진; 권오상; 김주현
- 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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