By Phoebe Rich, Richard K. Scher
Ailments of the nail symbolize an incredibly huge element of such a lot dermatologists' perform - and will current tough, occasionally intractable, scientific difficulties. Co-authored by way of one of many world's ideal experts within the box, An Atlas of ailments of the Nail presents specialist and authoritative advice on all points of analysis and management.
A accomplished consultant to universal nail illnesses, the publication comprises 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 points, plus the therapy of nail issues and nail surgical procedure. reading the nail from each attitude, An Atlas of ailments of the Nail offers you a visible connection with nail ailments supported via textual content protecting prognosis and therapy.
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Extra info for An Atlas of Diseases of the Nail (The Encyclopedia of Visual Medicine Series)
Note also the splinter hemorrhages, which are due to nail bed psoriasis An atlas of diseases of the nail 40 Figure 53 Dorsal pterygium ventral surface of the nail plate. Ventral pterygium can be seen in people with connective tissue disorders such as scleroderma (Figure 54) and systemic lupus erythematosus. Ventral pterygium can be familial or idiopathic. There may be nail fold capillary prominence associated with ventral pterygium in patients with connective tissue disease. SPLINTER HEMORRHAGES Splinter hemorrhages appear as thin, longitudinal, red—brown lines that resemble splinters under the nail plate.
This term is a slight misnomer because the condition occurs in Figure 57 (a) and (b) Nail hemorrhage with cutting of nail plate Figure 58 Trachyonychia in which the surface of the nail plate is rough and appears dull and lusterless An atlas of diseases of the nail 44 Figure 59 Trachyonychia in alopecia areata adults as well as children, and one to 20 nails may be affected. In children, trachyonychia sometimes resolves spontaneously. Trachyonychia is associated with alopecia areata (Figure 59), psoriasis, lichen planus, chronic eczema and ichthyosis vulgaris, as well as other conditions.
Melanonychia is due to melanin, as in nevi (Figure 71), lentigos and melanoma. Melanoma can begin as a longitudinal pigmented band in the nail plate or, less frequently, in the nail bed. There may be the Hutchinson’s sign where there is spread of pigment onto the nail folds. Benign melanonychia can be caused by drugs (Figure 72), vitamin B12 deficiencies (Figure 73), and Laugier—Huntziger syndrome in which there are pigmented bands in the nails and pigmented macules on the lips and mucosa (Figures 74 and 75).
An Atlas of Diseases of the Nail (The Encyclopedia of Visual Medicine Series) by Phoebe Rich, Richard K. Scher