By Phoebe Rich
Ailments of the nail characterize a shockingly huge element of so much dermatologists' perform - and will current tough, occasionally intractable, medical difficulties. Co-authored through one of many world's most efficient experts within the box, An Atlas of ailments of the Nail offers specialist and authoritative counsel on all facets of analysis and management.
A finished advisor to universal nail illnesses, the e-book contains anatomy and body structure of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic illnesses, nails in systemic affliction, nail beauty chemistry, nail cosmetics, scientific points, plus the remedy 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 ailments supported by means of textual content protecting analysis and remedy.
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Extra resources for An Atlas of Diseases of the Nail (Encyclopedia of Visual Medicine Series)
Random pits in the nail can be seen as an isolated idiopathic finding. Pitting in psoriatic nails occurs when small foci of psoriatic hyperkeratosis indent the nascent nail and then fall away after the area grows past the proximal nail fold. The configuration of nail pitting depends on the area of the matrix involved, and the duration of the pathological process in the nail matrix. The longitudinal dimension of the pits is determined by the length of time that the psoriasis is active in that portion of the nail matrix (Figure 51).
Paronychia is inflammation and/or infection of these folds. It can be acute bacterial paronychia (Figure 41) or a chronic paronychia (Figure 42) that is primarily irritant or Figure 39 Pachyonychia congenita Figure 40 The perionychium consists of the proximal and lateral nail folds. In the diagram, the shaded area indicates the perionychium allergic but may be secondarily infected with Candida9. 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.
Psoriasis and other medical and vascular events have been associated with the appearance of splinter hemorrhages in the nail12 (Figure 55). SUBUNGUAL HEMORRHAGE When an injury to the nail occurs, a hemorrhage often forms under the nail plate (Figure 56). This Figure 55 Splinter hemorrhage in psoriasis An atlas of diseases of the nail 42 Figure 56 Subungual hemorrhage due to intralesional cortisone injections for psoriasis blue/black lesion usually grows out with the nail. The important issue with subungual hemorrhage is that it needs to be distinguished from subungual melanocytic lesions, especially melanoma.