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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[nejm.org] Eyelid swelling is frequently seen when the allergen is unknowingly transferred from finger to lid. Affected areas are typically severely itchy.[skinsight.com] Onycholysis developing from allergic contact dermatitis to formaldehyde used to harden nails. Fragrances [10, 11] Individuals may develop allergy to fragrances.[emedicine.medscape.com]

  • Psoriasis

    Pruritic urticarial papules and plaques of pregnancy. The rash presentation can vary; two examples are shown above.[aafp.org] This can result in a sausage-shaped swelling of the fingers and toes known as dactylitis.[en.wikipedia.org] 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[dx.doi.org]

  • 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.[health.ccm.net] Subungual infections are characterized by distal separation of one or several fingernails ( onycholysis ), with white or yellow discoloration of the subungual area.[merckmanuals.com] 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[dermnetnz.org]

  • Syphilis

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

  • Contact Dermatitis

    Subacute forms of dermatitis present as less intense pruritic, erythematous, scaling and fissured skin rash.[podiatrytoday.com] Eyelid swelling is frequently seen when the allergen is unknowingly transferred from finger to lid. Affected areas are typically severely itchy.[skinsight.com] 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.[ncbi.nlm.nih.gov]

  • 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.[ncbi.nlm.nih.gov] 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.[peertechz.com] Cronkhite-Canada syndrome is characterized by generalized gastrointestinal polyps associated with hyperpigmentation, hair loss, and onycholysis.[ncbi.nlm.nih.gov]

  • 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[aafp.org] RECOMMENDATION 17 Liver function and hepatocellular integrity should be assessed in patients taking propylthiouracil who experience pruritic rash, jaundice, light-colored[doi.org] 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[dermnetnz.org]

  • Drug Eruptions

    rash.[consultant360.com] […] 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[genevadermatology.ch] Onycholysis may be due to drug-induced photosensitivity.[health.auckland.ac.nz]

  • 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[studyblue.com] Nail thickening, onycholysis, dystrophic changes and vertical ridging of hands and feet nails were also noticed (Fig. 3 a–c).[ncbi.nlm.nih.gov] 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[knowledge.statpearls.com]

  • 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[5minuteconsult.com] While there is usually no pain associated with nephritis, some patients may notice dark urine and swelling around their eyes, legs, ankles, or fingers.[lupusresearch.org] […] antagonists target blood vessels increased skin fragility and blistering (pseudoporphyria) can occur with NSAID, tetracyclines, furosemide, amiodarone and fluroquinolones photo-onycholysis[ggcprescribing.org.uk]

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