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KMID : 0882420210960030236
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Korean Journal of Medicine
2021 Volume.96 No. 3 p.236 ~ p.240
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Hepatopulmonary Syndrome with Finger Clubbing
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Kim Ho-Kyung
Kim Won-Ki
Kim Joo-Han
Lee Jeong-Woo
Kwon Oh-Sang
Kim Ju-Hyun
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Abstract
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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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KEYWORD
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Hepatopulmonary syndrome, Liver cirrhosis, Digital clubbing
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