By Phoebe Rich, Richard K. Scher
Ailments of the nail characterize an incredibly huge part of so much dermatologists' perform - and will current tough, occasionally intractable, scientific difficulties. Co-authored by means of one of many world's finest experts within the box, An Atlas of illnesses of the Nail offers specialist and authoritative tips on all facets of prognosis and management.
A finished consultant to universal nail illnesses, the booklet contains anatomy and body structure of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic ailments, nails in systemic ailment, nail beauty chemistry, nail cosmetics, scientific facets, plus the therapy of nail issues and nail surgical procedure. studying the nail from each perspective, An Atlas of illnesses of the Nail will give you a visible connection with nail illnesses supported by means of textual content masking prognosis and remedy.
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Additional info for An Atlas of Diseases of the Nail (The Encyclopedia of Visual Medicine Series)
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. It is seen in advanced lichen planus, peripheral vascular disease, and injury of the nail. Ventral pterygium occurs when the distal nail bed and hyponychium attach to the under surface of the nail plate. Ventral or inverse pterygium occurs when the hyponychium tissue grows and attaches to the Figure 51 Pitting in psoriasis Figure 52 Pitting is characteristic of nail matrix psoriasis.
Taniguchi S, Kutsuna H, Tani Y, Kawahiraa K, Hamada T. Twenty-nail dystrophy (trachyonychia) caused by lichen planus in a patient with alopecia universalis and ichthyosis vulgaris. J Am Acad Dermatol 1995;33:903–5 14. Tosti A, Bardazzi F, Piraccini BM, Fanti, PA. Idiopathic trachyonychia (twenty-nail dystrophy): a pathological study of 23 patients. Br J Dermatol 1994;131:866–72 4 Chromonychias Chromonychia or changes in nail color can be due to exogenous causes, infectious agents, internal disorders and abnormalities of nail melanocyte proliferation or melanin production.
An atlas of diseases of the nail 32 Acute paronychia Acute paronychia is usually due to Staphylococcus and presents with a painful, red, warm nail fold. There may be pus present (Figure 43), which should be cultured so that appropriate antibiotics can be administered. The inciting event in acute paronychia is injury to, or disruption of, the cuticle and nail folds (Figure 44) which opens a portal for infection. Ingrown toenails can precipitate an acute paronychia, Figure 41 Acute paronychia is usually due to Staphylococcal bacteria Figure 42 Chronic paronychia Figure 43 Acute paronychia with pus present in the infected nail fold Figure 44 Ingrown toenail causing acute paronychia caused by Staphylococcal infection.