Korean J Med.
2021 Jun;96(3):236-240. 10.3904/kjm.2021.96.3.236.
Hepatopulmonary Syndrome with Finger Clubbing
- Affiliations
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- 1Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea
- KMID: 2516475
- DOI: http://doi.org/10.3904/kjm.2021.96.3.236
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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