By Bianca Maria Piraccini (auth.)
This ebook is designed to fulfill the necessity for a concise, easy-to-read textual content on find out how to procedure and deal with sufferers with nail illnesses. The publication opens with an outline of nail anatomy and body structure, by way of a evaluate of nail indicators, divided in accordance with the a part of the nail gear concerned. Non-invasive and invasive instruments for the prognosis of nail issues are then defined and insights supplied into their acceptable use. next chapters overview some of the nail ailments, overlaying hereditary, worrying, inflammatory, environmentally triggered, drug-induced and neoplastic stipulations in addition to issues as a result of systemic illnesses. Informative top of the range illustrations are integrated for every disease and containers helpfully summarize crucial good points, clues to prognosis, invaluable examinations, and coverings. final chapters deal with nail stipulations in young ones and the aged. Nail problems: a pragmatic consultant to analysis and administration should be a useful, prepared resource of knowledge for college kids in dermatology, scientific practitioners and podiatrists.
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Additional info for Nail Disorders: A Practical Guide to Diagnosis and Management
Punctate leukonychia is typical of the fingernails of children and is considered due to microtraumas to the distal matrix: it appears as multiple white dots that migrate distally with nail growth and often disappear before reaching the distal edge (Fig. 32). Dermoscopy often shows a white spot with white granules corresponding to clusters of parakeratotic cells within the nail plate (Fig. 33). Striate leukonychia may involve the fingernails, where it is due to trauma to the matrix underneath the proximal nail fold during manicure and appears as white lines parallel to the nail fold.
5 39 malignant tumors. Squamous cell carcinoma often induces radiological change due to bone compression or to invasion, and the involvement of the bone should always be evaluated before surgery. Subungual exostosis appears as a subungual nodule that uplifts the nail plate, and it is seen on X-ray. 6 Ultrasound Ultrasonography has been proposed as a way of detecting glomus tumors of the fingertips. Tumors less than 3 mm in diameter are hardly visible, but tumors located in the pulp are more accessible.
When subungual hyperkeratosis is present, nail plate clipping allows its removal for mycology (Fig. 1a, b). The characteristics of the subungual scale may also give clues to the diagnosis, as, for example, when they are silvery and thick in some cases of nail psoriasis (Fig. 2a, b). M. 1007/978-88-470-5304-5_4, © Springer-Verlag Italia 2014 35 4 36 Fig. 1 Onycholysis and subungual hyperkeratosis (a). Clipping away the detached nail plate shows the subungual scales (b) and allows sampling for mycology a a Useful Diagnostic Techniques b b Fig.