By Phoebe Rich
Ailments of the nail symbolize an incredibly huge component to such a lot dermatologists' perform - and will current tough, occasionally intractable, medical difficulties. Co-authored by way of one of many world's most desirable specialists within the box, An Atlas of illnesses of the Nail presents professional and authoritative suggestions on all points of analysis and management.A complete consultant to universal nail ailments, the e-book comprises anatomy and body structure of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic ailments, nails in systemic illness, nail beauty chemistry, nail cosmetics, scientific facets, plus the remedy of nail problems and nail surgical procedure. reading the nail from each perspective, An Atlas of ailments of the Nail offers you a visible connection with nail ailments supported via textual content protecting analysis and therapy.
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Additional info for An Atlas of Deseases of the Nail
Topical steroids versus systemic antifungals in the treatment of chronic paronychia: An open, randomized double-blind and double dummy study. J Am Acad Dermatol 2002;47:73–6 Nail signs and their definitions: non-specific nail dystrophies 45 11. Baran R, Haneke E, Richert B. Pincer nails: definition and surgical treatment. Dermatol Surg 2001;27:261–6 12. Mujicc F, Lloyd M, Caudrado MJ, Khamashta MA, Hughes, GR. Prevalence and clinical significance of subungual splinter haemorrhages in patients with the antiphospholipid syndrome.
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.
Treatment of pitting due to any of the dermatological disorders must be directed to the matrix of the nail. Topical corticosteroids under occlusion and intralesional triamcinolone acetonide 2–3 mg/ml into the proximal nail fold are the most effective treatment for nail pitting. PTERYGIUM Dorsal pterygium is a scarring process where there is growth of the proximal nail fold onto the nail bed thinning and atrophy of the nail plate, with eventual (Figure 53). The scarring can involve the matrix and result in total permanent scarring of the nail.