Possible Causes for nail plate thickening Pityriasis Rubra Pilaris Distal yellow-brown discoloration, subungual hyperkeratosis, nail plate thickening, and splinter hemorrhages indicate a diagnosis of type 1 pityriasis rubra pilaris rather [ncbi.nlm.nih.gov] Nails change color and become yellow-brownish. The nail plate thickens but presents longitudinal ridges. [symptoma.com] Nail changes are frequent and include nail plate thickening, yellow-brown discoloration, and splinter hemorrhages (Figure 6). [clinicaladvisor.com] Onychomycosis nail plates. [ncbi.nlm.nih.gov] Trauma – Yellowing and thickening of the nail plate. Subungual wart – Thickening of the nail plate with subungual debris. [visualdx.com] Clinical findings include typically severe dystrophy of the nail fold and plate as well as thickening and fragmentation of the plate, particularly in the distal plate. [ncbi.nlm.nih.gov] Onycholysis The nails of the fingers and toes showed nail plate thicken, subungual hyperkeratosis, onycholysis and some linear discoloration of nail plates: dark longitudinal streaks. [panafrican-med-journal.com] Depending on the anatomic area affected, the disease presents with different signs: irregular pitting, surface ridging, and nail plate thickening for psoriasis of the nail [docksci.com] Table and figures Table 1: laboratory tests done from point of care to discharge Figure 1: toes showed nail plate thicken, subungual hyperkeratosis, onycholysis especially [panafrican-med-journal.com] Trachonychia Nail changes include Pitting (small, regularly placed pits, as on a thimble) Nail plate thickening (tunneled nail plate) Subungual hyperkeratosis (accumulation of keratinous [slideshare.net] […] bed Cause of photoonycholysis Green nail syndrome (P. aeruginosa) Thickening of entire nail plate, seen in elderly Onychauxis with ram's horn like deformity Most common great [quizlet.com] […] begins distally Pitting: very frequent Not seen Nail plate: thickened and discolored Thickened, discolored and tunneled Subungual debris: does not crumble it is firm Friable [slideshare.net] Ovarian Cyst On examination, the nails showed thickened, lusterless nail plate of all the nails with upward growth of its distal portion. [ijpd.in] Thickened nail plates, focal palmoplantar keratoderma and natal teeth are variable features. [genedx.com] nail plates and wedge-shaped deformity of the nails. [e-ijd.org] Subungual Fibroma A 54-year-old man presented with paronychia and markedly thickened hyperkeratotic nail. [ncbi.nlm.nih.gov] Onychitis (nail plate deformity due to other causes) Sheding of the nail plate Rams horns - hypertrophy (thickening) of one shoulder of the nail. [quizlet.com] The thickened section grows out towards the free edge. Temporary cessation of blood supply to nail plate. [proprofs.com] Paronychia The nail plate thickens and is distorted, often with transverse ridges. Chronic paronychia See more images of paronychia ... What are the complications of paronychia? [dermnetnz.org] The nail plate thickens and is distorted, often with transverse ridges. Chronic paronychia See more images of paronychia ... What are the complications of paronychia ? [dermnetnz.org] Signs and Symptoms of Paronychia Runaround infection Pain Nail plates become thickened and discolored The cuticles and nail folds may separate from the nail plate Swelling [syracusepodiatry.org] Fibroma Onychomatricoma should be in the differential diagnosis of a thickened discolored nail plate with transverse overcurvature. [mdedge.com] It was thickened and grossly showed filiform fibrous projections extending into the nail plate. Histologically, the nail displayed prominent oval clear channels. [mdedge.com] Case Report A 72-year-old white man presented to the dermatology clinic with a 26-year history of a thickened nail plate on the right third finger that had developed soon [mdedge.com] Nail Dystrophy Dystrophic nails are nails that become misshapen, thickened, or feature a partially destroyed nail plate. [bergdpm.com] Physical examination revealed a pink scaly papule at the proximal nail fold with adjacent yellow-brown thickening of the lateral nail plate (Fig. 1a). [medicaljournals.se] It is the transverse and lamellar splitting of the free edge and nail plate. [cosmetologyapprenticeship.com] Onychia […] yellow) ( Figure 1 ), onycholysis with or without subungual debris, nail-plate/nail-bed thickening, and ridging and/or pitting of the nail plate. [clinicaladvisor.com] […] yellow) (Figure 1), onycholysis with or without subungual debris, nail-plate/nail-bed thickening, and ridging and/or pitting of the nail plate. [clinicaladvisor.com] Pus is usually present, along with gradual thickening and browning discoloration of the nail plate. [handresearch.com] Psoriasis […] matrix [Figure 2]. [2] Figure 2: Transverse grooves on the nail plate in a patient with psoriasis Click here to view Nail plate thickening and crumbling It suggests an extensive [dx.doi.org] plate from the nail bed; and Thickening and yellowing of the nails. [britishskinfoundation.org.uk] […] involvement of the entire nail matrix by the psoriatic process [Figure 3]. [24] Figure 3: Nail plate thickening and crumbling resulting in complete nail dystrophy Click here [dx.doi.org] Pachyonychia Congenita The distal third of the nail plate is thickened with increased transverse curvature. Onycholysis is secondary to subungual hyperkeratosis. [visualdx.com] On examination, the nails showed thickened, lusterless nail plate of all the nails with upward growth of its distal portion. [ijpd.in] Thickened nail plates, focal palmoplantar keratoderma and natal teeth are variable features. [genedx.com] Pachyonychia Congenita Type 1 On examination, the nails showed thickened, lusterless nail plate of all the nails with upward growth of its distal portion. [ijpd.in] Treatment - Jadassohn Lewandowsky syndrome Currently, no ideal treatment for the thickened nail plate is available, although a few therapeutic options have been suggested. [checkorphan.org] Thickened nail plates, focal palmoplantar keratoderma and natal teeth are variable features. [genedx.com] Upper Urinary Tract Infection On examination, the nails showed thickened, lusterless nail plate of all the nails with upward growth of its distal portion. [ijpd.in] nail plates and wedge-shaped deformity of the nails. [e-ijd.org] Figure 1: Clinical photograph of all nails showing thickened, lusterless nail plate with subungual hyperkeratosis Click here to view Figure 2: Clinical photograph showing [ijpd.in] Diffuse Palmoplantar Keratoderma Nail changes most commonly seen were subungual hyperkeratosis, pitting [Figure 7], nail plate thickening, and rough and brittle nails were seen in 25% patients each. [ijpd.in] During infancy, the nails are typically milky white, gradually thickening throughout childhood. [ncbi.nlm.nih.gov] Nail changes were seen in 60% patients, leukokeratosis and hyperhidrosis were seen in 1% patients each. [ijpd.in] Chronic Abscess Eventually, the nail plates become thickened and discolored, with pronounced transverse ridges. 6, 8 The cuticles and nail folds may separate from the nail plate, forming [aafp.org] Tinea Pedis thickens and turns yellow. [pcds.org.uk] Fungal infections of the nail (onychomycosis) can affect the entire nail plate, and one, several or all nails of the feet can be infected simultaneously. [doi.org] If the infection starts distally the nail plate can be seen to crumble With superficial involvement the nail surface becomes white and powdery Very occasionally a fungal nail [pcds.org.uk] Tinea barbae and Tinea capitis Endonyx Onychomycosis presents with milky white discoloration of the nail plate without thickening or lifting of nail plate. [medthical.com] In distal lateral subungual Onychomycosis, the nail will have subungual hyperkeratosis (thickening of nail plate) and onycholysis (separation of nail plate from the bed). [medthical.com] The nail plate is usually yellow-white in color at one side of the nail. [medthical.com] Daphne Poisoning Nail psoriasis presents with various changes, ie, pitting, deformation, onycholysis, thickening of the nail plate, subungual hyperkeratosis, and longitudinal/transverse lines [dovepress.com] Acrodermatitis Continua of Hallopeau […] psoriasis Pitting, stippling, fraying, discoloration (oil spot sign), and thickening of the nails, with or without separation of the nail plate (onycholysis) May resemble [msdmanuals.com] The distal nail plate shows onycholysis usually at the corner. [ijpd.in] […] or without vitamin D3 analogs (eg, calcipotriol) Possibly tacrolimus 0.1% ointment in recalcitrant cases Tar and anthralin possibly irritating Prognosis: Waxes and wanes Nail [msdmanuals.com] Microangiopathy plate infections with either dermatophyte or Candida sp. present with distal yellowing or whitening and thickening of the toe nail. [telemedicine.org] If there is a special risk to the diabetic host to have this nail plate infection, it has not been demonstrated. [telemedicine.org] […] needs to be careful about making the diagnosis of primary Candida infection, however, because cultures may only reflect contaminants or secondary involvement.Clinically, nail [telemedicine.org] Diabetic Foot Ulcer Sometimes surgery is necessary to remove the affected part of the nail and the growth plate from which the nail grows. [medicinenet.com] Plantar warts Thickened areas on the soles of the feet that have small black spots or pinholes are likely plantar warts. Plantar warts are caused by a virus. [medicinenet.com] Transient Sarcoidosis The nail changes consist of absent lunulae and cuticles, nail thickening with lateral curvature, and yellowing. The syndrome usually involves all 20 nails. [bobbybukamd.com] Total nail plate detachment may occur (secondary onycholysis), as well as colonization by pseudomonas aeruginosa that may produce green-to-black discoloration of the nail [bobbybukamd.com] Submammary Abscess Although a brownish discoloration of the nail may occur, the nail plate is not affected and remains intact. [ahcmedia.com] Lack of subungual thickening will differentiate chronic paronychia from fungal infections. [ahcmedia.com] Occasionally a small amount of pus can be expressed from under the nail fold. [ahcmedia.com] Palmoplantar Pustulosis nail bed uplifts the nail plate resulting in a thickened nail. [epdf.tips] These changes include discolouring under the nail plate, pitting of the nails, lines going across the nails, thickening of the skin under the nail, and the loosening (onycholysis [amritaamc.com] Onychomatricoma – at the frontal view the nail plate shows multiple holes in its thickened free margin. 5.3 Nail Thickening due to Inflammatory Disorders Nail thickening is [epdf.tips] Reiter Syndrome thickening opacification, ridging of the nail plate. [ncbi.nlm.nih.gov] Nail involvement in Reiter's syndrome is a rare condition that may include painless erythematous nduration of the base of the nail fold; subungual parakeratotic scaling and [ncbi.nlm.nih.gov] Yellow Nail Syndrome The dermatologic manifestations of YNS are slow/arrested growth of the nail unit, increased transverse curvature, nail plate thickening, absence of cuticles and yellow discoloration [karger.com] On dermatologic examination, all of her nails showed a yellow-greenish discoloration with thickening of the nail plates, excessively curving a long both axes and loss of the [casesjournal.biomedcentral.com] Patients generally complain of slowed or arrested nail growth: the nails become thickened and opaque, with yellowish or green discoloration and that lack the cuticles. [orpha.net] Onychocryptosis There are multiple reasons why an ingrown toenail will de-velop, including improper nail cutting technique, tight-fitting footwear, trauma, anatomical factors such as thickening [racgp.org.au] […] the nail plate, often becoming ingrown, painful and infected. [draxe.com] […] of the nail plate, pincer-shaped toenail, pressure from abutting digits caused by hallux valgus or lesser toe deformities, the presence of a subungual exostosis and, occasionally [racgp.org.au] Palmoplantar Keratosis Nail changes most commonly seen were subungual hyperkeratosis, pitting [Figure 7], nail plate thickening, and rough and brittle nails were seen in 25% patients each. [ijpd.in] Nail changes were seen in 60% patients, leukokeratosis and hyperhidrosis were seen in 1% patients each. [ijpd.in] Pseudopyogenic Granuloma Chronic paronychia presents as tender erythema of the nail folds with thickening of the tissues, loss of the cuticle, and subsequent dystrophy of the nail plate. [en.tzermias.gr]
