Terry’s nails, and not only

[Ocean_ovna]

Terry’s nails, and not only them.

I have recently been on the forum and would like to introduce myself and tell everyone my story. probably this is something that I can still do for some benefit to others.

I am doctor MD from Ukraine. I got to this forum for the same reason as yours. Two years ago, I noticed changes in well-being, although some symptoms appeared much earlier (I noticed, Terry’s nails appeared since 2014). My sleep began to be disturbed. Double vision appeared and intensified. My gait changed and I began to feel a sharp weakness, twitching in the muscles throughout the body. There was an aversion to tobacco (and I sometimes smoked) and the taste in my mouth changed. My stool was getting less colored. The skin has become more pigmented, but I do not tan. For half a year I lost 35 pounds of weight. There are other symptoms that I will not list, so as not to waste time. According to the symptoms, I suspected of alcoholic cirrhosis and liver failure of the last stage. I have been drinking alcohol for a long time. These were moderate amounts but regularly enough (several times a week).

I turned to my colleagues for help, went through laboratory examinations, ultrasound, CT. They did not show much change. With fibrogastroscopy, varicose veins of the esophagus of the 1st degree were detected. Several times I did fibroscan and liver elastometry in different medical centers. Аll these examinations typically showed minor fibrosis (7-8 kPa).

No one doctor in Ukraine diagnosed me in an end stage liver failure because I have no cirrhosis. But, I have all the symptoms of this condition. I had 4 liver biopsies, but our pathologists could not say anything. These were the best pathologists in our country. I sent histology photos to Belgium. Only in Belgium I was diagnosed with Nodular Regenerative liver Hyperplasia (NRH) and Non-Cirrhotic Portal Hypertension (NCPH).

I read a lot of special medical articles about this conditions and learned that such patients not develop cirrhosis. Unfortunately, doctors do not know this well. Sometimes, but not necessarily, they develop Incomplete Septal Cirrhosis (ISC).

The whole difficulty lies in the fact that patients with NRH and ISC at the same time have good biochemical parameters in some cases, even in an end stage liver failure and Fibroscan does not show cirrhosis.

I’ts believed that this occurs infrequently but no one knows for sure. I don’t need any advice. I know everything myself. I just wanted to say that the liver is not a very simple organ and alcohol is a very dangerous substance!