Solar Nail Symptom

The symptom of solar (celiac) or solar (hepatic or hepatoceliac, combined) nail is a frequent occurrence in the practice of a general practitioner, infectious disease specialist, and hematologist.

When reviewing the medical literature, this condition is also described as a “solar” or “liver-umbilical” symptom complex, “cardio-aortic” syndrome, and a “coincidence” of symptoms of achalasia cardia and systemic lupus erythematosus (SLE). Also known clinical picture: pain in the abdomen, lower back, buttocks, weakness in the lower extremities associated with palpation in the form of a palpation

The nail symptom is a manifestation of a significant bending of the heart, when the left half of the chamber is pressed into the right and a depression is formed, comparable in size to the head of a nail. This symptom occurs in situations involving left descending aortic obstruction, abdominal aortic aneurysms, or anastomotic openings between the right and left atria.

The causes of nail symptoms can be diseases that affect various body systems, including diseases of the lungs, gastrointestinal tract, kidneys, heart, as well as allergies and autoimmune diseases.

The first signs of this syndrome include chest pain and shortness of breath. Rapid heartbeat and high blood pressure may also accompany this condition. In addition, patients may experience nausea and dizziness. However, some cases may proceed without any

Many patients with heart failure often experience pallor of the skin and mucous membranes, decreased diuresis, adynamia, and weight loss. This clinical picture makes the diagnosis of organic renal pathology very difficult. In some cases, renal pathology can “masquerade” as heart failure, which is the difficulty of differential diagnosis.

Solar needle symptom. Its appearance reflects the changes that the celiac artery undergoes when it is compressed by an enlarged bladder. This symptom is a consequence of inflammatory-necrotic changes in the wall of the bladder in the presence of a vesicovenous fistula. It manifests itself as a sharp increase in heart rate, impaired blood supply to the bladder, and an increase in the total volume of circulating blood. In addition to the increase in volume, a change in hemodynamics is noted, resulting in a significant expansion of the descending aorta (Grekov's symptom). As a consequence of these changes, tissue pulsation occurs at the navel level. The described changes are accompanied by changes in blood pressure - its decrease to a minimum level is combined with an increase in pulse rate.