By Phoebe Rich
Illnesses of the nail characterize an incredibly huge component of so much dermatologists' perform - and will current tricky, occasionally intractable, scientific difficulties. Co-authored through one of many world's most appropriate specialists within the box, An Atlas of illnesses of the Nail offers professional and authoritative advice on all elements of prognosis 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 illness, nail beauty chemistry, nail cosmetics, medical features, plus the therapy of nail issues and nail surgical procedure. analyzing the nail from each attitude, An Atlas of illnesses of the Nail will give you a visible connection with nail illnesses supported through textual content masking analysis and remedy.
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Additional info for An Atlas of Deseases of the Nail
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. There may be pus present (Figure 43), which should be cultured so that appropriate antibiotics can be administered.
Trachyonychia has been termed 20-nail dystrophy of childhood13,14. 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.
Pitting is sometimes seen in severe eczema that affects the proximal nail folds. The changes can be intermittent, giving the appearance of parallel horizontal depressions corresponding to the waxing and waning course of 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.