Sunday, 01 November 2015 21:50

Pincer nails following arteriovenous fistula creation

By  Clark and Burns
Rate this item
(0 votes)

A 68-year-old woman with end-stage renal disease secondary to diabetic nephropathy started chronic hemodialysis with a right internal jugular central venous catheter. After 4 months, she underwent creation of a right radiocephalic arteriovenous fistula. Although she noted slightly increased curvature of her fingernails prior, over the 2 months following fistula creation she developed severe pincer deformities of her second, third, and fifth fingernails on the same side as the fistula (Figure 1). She also developed gradually worsening pain in the affected nail beds after the deformities were well established (Figure 2) but had no symptoms or signs to suggest a steal syndrome or other hand ischemia.

 Authors: Edward G Clark and Kevin D Burns

Reference: Kidney Int 88: 918; doi:10.1038/ki.2015.12

Additional Info

  • Language: English
  • Contains Audio: No
  • Content Type: Case/Images
  • Source: KI
  • Year: 2015
  • Members Only: No
Read 1374 times

Global Operations Center

Avenue des Arts 1-2
1210 Brussels, Belgium
Tel: +32 2 808 04 20
Fax: +32 2 808 4454
Email contact


Americas Operations Center

340 North Avenue 3rd Floor
Cranford, NJ 07016-2496, United States
Tel: +1 567 248 9703
Fax: +1 908 272 7101
Email contact