Reversible Nail Changes in Primary Biliary Cirrhosis after Liver Transplantation A 45-year-old woman with primary biliary cirrhosis and intractable itching presented with a bluish-yellow color and longitudinal striations in 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). Rui Tato Marinho Rui Perdigoto* Liver Unit, Medicine 2, Hospital S. Maria Av Prof Egas Moniz, 1600 Lisbon, Portugal *Liver Transplant Unit Hospital Universitario de Coimbra, Portugal