Presentation
Given the common presentation of onychodystrophy, physicians should have a firm grasp of common presentations of conditions like onychomycosis, trachyonychia and psoriasis. [podiatrytoday.com]
A 4-year-old boy presents with concern for toenail changes. His toenails were normal at birth. Nine months before presentation his mother noticed three of the nails on his left foot were yellow. [healio.com]
If it is dominant type, it presents with less severe form of alopecia and often manifests in later years. [ijtrichology.com]
Dermatology Quiz Case presentation An 8-year-old boy presents with a scaly erythematous lesion on his left palm that has been present for six months (Figure 1). His thumbnail of the same hand became dystrophic four months ago (Figure 2). [medicinetoday.com.au]
[…] of common presentations of conditions like onychomycosis, trachyonychia and psoriasis. [medicalvideos.com]
Skin
- Nail Deformity
deformations can suggest nail disorders of severe pernio. [jpma.org.pk]
A pincer nail deformity is inherited or acquired and can be associated with beta-blocker use, psoriasis, onychomycosis, tumors of the nail apparatus, systemic lupus erythematosus, Kawasaki disease, and malignancy. [aafp.org]
Download Figure: 48 Alopecia areata and t rachyonychia Download Figure: 49 A myxoid cyst (black arrow) affecting nail growth Download Figure: 50 Habit-tic deformity Download Figure: 51 Habit-tic deformity Fir tree appearance Download Figure: 52 Habit-tic [pcds.org.uk]
Workup
Inspection may reveal localized nail abnormalities that should be treated, or may provide clues to an underlying systemic disease that requires further workup. [aafp.org]
Microbiology
- Sarcoptes Scabiei
Sarcoptes scabiei eggs and mites were found within the stratum corneum. [germany.omicsonline.org]
Treatment
One should pursue a fungal culture/mycological staining prior to treatment to confirm the clinical diagnosis. Ultimately, one should tailor treatment to the nail disorder present. [podiatrytoday.com]
Treatment Options Once the cause of the nail dystrophy is determined, appropriate treatment can begin. Again, treatment will be based on the cause of the dystrophy, but sometimes the cause can be unknown. [lexingtonkypodiatry.com]
Laser treatment for fungal nails has been approved by the FDA for several years, and some studies have suggested up to 80% success rate. [bergdpm.com]
Nail Dystrophy affects a vast portion of the U.S. population and the medical community has had limited treatment options to effectively address this growing problem. [prnewswire.com]
Treatment Trachyonychia is a chronic condition. However, it is important to keep in mind that it is neither scarring nor painful, so treatment is often prescribed only for cosmetic reasons and patients may often improve without any treatment. [karger.com]
Prognosis
Managing Median Nail Dystrophy The prognosis for median nail dystrophy caused by physical trauma is usually quite good. While the pathogenesis of the disorder is unknown, treatment is highly effective. [news-medical.net]
CT On CT chest, while individual features are non-specific, there may be evidence of sequelae of recurrent pulmonary infections pleural effusions Treatment and prognosis While there is no specific treatment for the syndrome, however some patients are [radiopaedia.org]
Causes, treatment and prognosis. J Hand Surg [Am] 9: 247–252 Google Scholar 16. Zook EG (1990) The Perionychium. Hand Clin 6: 1 Google Scholar Copyright information Authors and Affiliations S Guéro 1 S Guichard 1 SR Fraitag 2 1. [link.springer.com]
Prognosis for habit-tic deformity is difficult to determine, as most of the literature on the disorder is in the form of isolated case studies. [clinicaladvisor.com]
Prognosis The prognosis is variable and depends on the type of infection as well as host factors such as comorbidities and age. [patient.info]
Etiology
Etiology Trauma Systemic infections such as measles. Drug reaction. Brittled nails Etiology Strong soaps Nail polish Vitamin deficiency: Vitamin A and B. [drmhijazy.com]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
The etiology of median canaliform nail dystrophy is unknown. 5,7,13,16-18 It usually is an acquired condition. [mdedge.com]
Its exact etiology is as yet unresolved. What is Median Nail Dystrophy? It is a condition affecting the nail plate of the thumbs, though on rare occasions it may be found in toenails or other finger nails. [news-medical.net]
They are organised into groups, and further divided into clinical, etiological or histopathological sub-types. [orpha.net]
Epidemiology
Prevalence and epidemiology of toenail onychomycosis in diabetic subjects: a multicentre survey. Br J Dermatol. 1998;139(4):665-671. 7. Cribier B, Mena ML, Rey D, et al. [kerydin.com]
Articles that reported the epidemiology, disease associations, clinical presentation, histopathology, and treatment options for trachyonychia were included. [karger.com]
Whilst not life-threatening, quality of life may be impaired through feelings of stigmatisation (comparable to other skin diseases) and the avoidance of certain activities - eg, swimming or other sports involving communal changing rooms. [ 1 ] Epidemiology [patient.info]
Pathophysiology
There are several types of onychomycosis that one can differentiate by the initial site of involvement and pathophysiology. The classification of onychomycosis is as follows.2 Distal (or distal lateral) subungual onychomycosis. [podiatrytoday.com]
Prevention
This type of cut will ensure that patients can go longer in between visits and will prevent ingrown toenails, a common cause for pain and infection. [rainiermeded.com]
Nuvail's patented polymer creates a breathable barrier allowing for oxygen transfer to the germinal matrix while blocking water absorption; therefore, preventing the wet-dry cycle that commonly leads to damaged nails. [prnewswire.com]
Science Pagina 305 - Silva P (1994) Effects of saline, mannitol, and furosemide to prevent acute decreases in renal function induced by Pagina 465 - Bennett NT, Schultz GS (1993) Growth factors and wound healing: part II. [books.google.it]
In addition it is advised to keep the nail length short and buff the surface of the nail to prevent the edges from catching on clothes and getting further damaged. [news-medical.net]
Concurrent tinea pedis must be cleared to prevent reinfection. Additionally, parents and family members should examine themselves in an attempt to identify if a close contact is the source of the infection. [healio.com]