By Phoebe Rich
Ailments of the nail characterize a shockingly huge component of such a lot dermatologists' perform - and will current tough, occasionally intractable, medical difficulties. Co-authored by way of one of many world's prime specialists within the box, An Atlas of illnesses of the Nail presents specialist and authoritative advice on all points of prognosis and management.A entire advisor to universal nail ailments, the e-book comprises anatomy and body structure of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic illnesses, nails in systemic ailment, nail beauty chemistry, nail cosmetics, scientific points, plus the therapy of nail problems and nail surgical procedure. studying the nail from each attitude, An Atlas of illnesses of the Nail provide you with a visible connection with nail ailments supported by way of textual content protecting analysis and remedy.
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Zook EG. Understanding the perionychium. J Hand Ther 2000;13:269–75 9. Daniel CR, Gupta AK, Daniel MP, Sullivan S. Candida infection of the nail: role of Candida as a primary or secondary pathogen. Int J Dermatol 1998;37:904–7 10. Tosti A, Piraccini BM, Ghetti E, Colomubo MD. Topical steroids versus systemic antifungals in the treatment of chronic paronychia: An open, randomized double-blind and double dummy study. J Am Acad Dermatol 2002;47:73–6 Nail signs and their definitions: non-specific nail dystrophies 45 11.
Exogenous dyschromia is easily recognized because the proximal border of the discoloration is parallel to the proximal nail fold. The proximal margin of internally caused dyschromia is usually parallel to the lunula (Figures 77 and 78). ERYTHRONYCHIA Longitudinal erythronychia, a clinical entity well known for many years among dermatologists with an interest in nail disorders, was recently described by Baran and Perrin (Figure 79). In their series of 16 cases, they found that 14 were onychopapillomas, but two turned out on biopsy to be Bowen’s disease.
There are some pathologic processes where a portion of the nail unit is red. Red spots in the lunula (Figures 69 and 70) are seen in several disorders including psoriasis, lichen planus, alopecia areata. Diffuse reddish lunula are seen with systemic lupus, rheumatoid arthritis, cardiac disease and others. Glomus tumor (see Figure 173) is seen as a red macule beneath the nail. Carbon monoxide poisoning, systemic lupus erythematosus and polycythemia cause red changes in the nail unit. Figure 68 Blue band in the nail caused by argyria Figure 69 Red spots in the lunula An atlas of diseases of the nail 54 BROWN-BLACK PIGMENTATION OF THE NAIL Brown-black pigmentation of the nail is termed melanonychia.