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40 Possible Causes for Onycholysis, Pruritic Rash, Swelling of the Finger

  • Dermatitis

    ., and Randy Tang, M.D. 4 Citing Articles A 31-year-old man presented with a 1-week history of pruritic rash on his left foot, which developed after he brushed against coral[] Eyelid swelling is frequently seen when the allergen is unknowingly transferred from finger to lid. Affected areas are typically severely itchy.[] Onycholysis developing from allergic contact dermatitis to formaldehyde used to harden nails. Fragrances [10, 11] Individuals may develop allergy to fragrances.[]

  • Psoriasis

    Pruritic urticarial papules and plaques of pregnancy. The rash presentation can vary; two examples are shown above.[] This can result in a sausage-shaped swelling of the fingers and toes known as dactylitis.[] Figure 5: Onycholysis along with salmon patches on thumbnails in a patient with psoriasis Click here to view Onycholysis (separation of nail plate from nail bed) Results from[]

  • Cutaneous Candidiasis

    The major folds affected are under the breasts, between the buttocks, in the groin region, as well as the areas located between the fingers.[] Subungual infections are characterized by distal separation of one or several fingernails ( onycholysis ), with white or yellow discoloration of the subungual area.[] Most often, candida results in onycholysis (lifting of the nail plate from the nail bed) but there are many other causes of onycholysis that may be clinically indistinguishable[]

  • Syphilis

    Swelling of the lymphatic nodes : The lymphatic nodes are generally swollen.[] […] toes, resulting in bone pain and digital swelling ( Fig. 2E ) ( 38 ).[] Condylomata lata : Moist skin rashes occur between fingers and toes, under the breast and on the genitals.[]

  • Contact Dermatitis

    Subacute forms of dermatitis present as less intense pruritic, erythematous, scaling and fissured skin rash.[] Eyelid swelling is frequently seen when the allergen is unknowingly transferred from finger to lid. Affected areas are typically severely itchy.[] A 40-year-old non-atopic male patient working as a flamenco guitarist developed dystrophy, onycholysis and paronychia involving the first four nails of his right hand.[]

  • Cronkhite-Canada Syndrome

    He had mild to moderate alopecia, paucity of eyebrow hair, erythematous non-pruritic nodular rash on the wrists, toenail onychomychosis and scalp hyperpigmentation.[] The gouty swelling was present on the right toe. There were hyperpigmented oval spots measuring 5mm to 15mm in diameter all over his palms and sole.[] Cronkhite-Canada syndrome is characterized by generalized gastrointestinal polyps associated with hyperpigmentation, hair loss, and onycholysis.[]

  • Hyperthyroidism

    […] over the tibiae with the skin assuming a peau d'orange (orange peel) appearance. 18 Thyroid acropachy, an uncommon sign, is the clubbing of fingers and toes with soft-tissue[] RECOMMENDATION 17 Liver function and hepatocellular integrity should be assessed in patients taking propylthiouracil who experience pruritic rash, jaundice, light-colored[] Flushing of the face and hands Smooth, moist and warm skin Fine, soft and thinned scalp hair Distorted and overgrown nails (thyroid acropachy) that may lift off the nail bed ( onycholysis[]

  • Drug Eruptions

    rash.[] […] pressure; indicates serious eruption that may constitute a medical emergency), tongue swelling, redness, palpable bruises, skin discoloration on the legs or any part of the[] Onycholysis may be due to drug-induced photosensitivity.[]

  • Bazex Syndrome

    : describe - Bulbous uniform swelling of the soft tissue of the terminal phalanx - Loss of normal angle between nail and nail bed Clubbing of fingers: associations - diffuse[] Nail thickening, onycholysis, dystrophic changes and vertical ridging of hands and feet nails were also noticed (Fig. 3 a–c).[] Answers Teaching Points Click Your Answer Below Ridging Yellow discoloration Onycholysis Pterygium Would you like to access teaching points and more information on this topic[]

  • Photosensitivity Disorder

    Pruritic and often painful rash developing in sun-exposed areas Phototoxic ( 3 ) Erythema With increasing severity: vesicles and bullae Classic example: sunburn Nails may[] While there is usually no pain associated with nephritis, some patients may notice dark urine and swelling around their eyes, legs, ankles, or fingers.[] […] antagonists target blood vessels increased skin fragility and blistering (pseudoporphyria) can occur with NSAID, tetracyclines, furosemide, amiodarone and fluroquinolones photo-onycholysis[]

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