An Atlas of Deseases of the Nail by Phoebe Rich

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By Phoebe Rich

Illnesses of the nail symbolize an incredibly huge element of such a lot dermatologists' perform - and will current tough, occasionally intractable, medical difficulties. Co-authored by means of one of many world's optimal professionals within the box, An Atlas of illnesses of the Nail offers specialist and authoritative tips on all elements of analysis and management.A accomplished advisor to universal nail illnesses, the e-book contains anatomy and body structure of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic ailments, nails in systemic sickness, nail beauty chemistry, nail cosmetics, scientific features, plus the remedy of nail issues and nail surgical procedure. reading the nail from each attitude, An Atlas of illnesses of the Nail provide you with a visible connection with nail illnesses supported by way of textual content protecting analysis and remedy.

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The best approach is to remove the lateral portion of the nail matrix surgically or with chemical destruction with phenol (see Chapter 10). Nail signs and their definitions: non-specific nail dystrophies 37 Figure 49 Pincer nail Figure 50 Pincer nail PITTING Nail pits are small, round depressions on the surface of the nail plate. They are usually due to disease in the proximal matrix or, sometimes, the proximal nail fold. Nail pitting An atlas of diseases of the nail 38 can be seen in psoriasis, alopecia areata, and eczema.

It is helpful to consider nail dyschromia according to color. LEUKONYCHIA (WHITE NAILS) The term leukonychia is used to describe nails that appear white. It can be divided into several categories: partial versus complete, true versus apparent, and congenital versus acquired. True leukonychia occurs when the actual nail plate is white due to alterations of the nail plate keratinocytes. Apparent leukonychia is due to alterations in the nail bed, matrix or hyponychium that give the nail the white appearance.

Melanonychia striata can be seen as a normal finding Figure 70 Red lunula Figure 71 Melanonychia due to a nail matrix nevus Figure 72 Benign melanonychia caused by zidovudine Figure 73 Melanonychia caused by vitamin B12 deficiency Figure 74 Laugier—Huntziger syndrome with longitudinal melanonychia and mucosal melanotic macules Chromonychias 57 Figure 75 Laugier—Huntziger syndrome in darkly pigmented individuals. If the diagnosis is in question, a biopsy of the nail is mandatory (Figure 76). Table 2 lists the causes of melanonychia.

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