A 45-year-old woman with primary biliary cirrhosis and intractable itching presented
with a bluish-yellow color and longitudinal striationsin the nail of the right index
finger(upper figure) which she had repeatedly used to scratch herself day and night for several years.
When she recovered consciousness after a liver transplant, she complained of no further
pruritus and 3 months later, the dystrophic alterations of the nail were no longer
visible(lower figure).
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© 1999 Published by Elsevier Inc.
