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Images in paediatrics
Terry’s nails in an infant with liver cirrhosis
  1. Kazuhiro Uda1,
  2. Mitsuru Tsuge2,
  3. Kenji Shigehara1,
  4. Masato Yashiro1,
  5. Hirokazu Tsukahara2
  1. 1 Department of Pediatrics, Okayama University Hospital, Okayama, Japan
  2. 2 Department of Pediatrics, Okayama University Graduate School of Medicine Dentistry and Pharmaceutical Sciences, Okayama, Japan
  1. Correspondence to Dr Kazuhiro Uda, Department of Pediatrics, Okayama University Hospital, Okayama 700-8558, Japan; pzov3ip6{at}

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A 33-day-old baby girl was brought with concerns regarding acholic stool colour. After laboratory examinations, abdominal ultrasound and hepatobiliary scintigraphy, biliary atresia was suspected, and the patient was transferred to our hospital for surgery. Biliary atresia was definitively diagnosed by cholangiogram, and the Kasai procedure was performed at 47 days of age, but her jaundice persisted. Her liver condition progressed to cirrhosis requiring liver transplantation. At 5 …

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  • Contributors KU produced the first draft of the manuscript. MT, KS, MY and HT revised it critically. All authors have approved the final version to be submitted.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.