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Related Concept Videos

Accessory Structures of the Skin: Nails01:05

Accessory Structures of the Skin: Nails

Nails are one of the important accessory structures of the skin. They are hard, protective structures that cover the dorsal surface of the distal phalanges of fingers and toes. Nails are composed of specialized keratinized cells and serve various functions, including protection, sensation, and manual dexterity.
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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Papillary Dermis01:11

Papillary Dermis

Dermis
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Desmosomes01:05

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Technique of Conjunctival Biopsy and Direct Immunofluorescence for Diagnosing Mucous Membrane Pemphigoid
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Published on: June 17, 2025

Nail changes in pemphigus vulgaris.

Mohammadali Habibi1, Hossein Mortazavi, Shervin Shadianloo

  • 1Department of Dermatology, Pemphigus Research Unit, Razi Hospital, Tehran University for Medical Sciences, Tehran, Iran.

International Journal of Dermatology
|November 7, 2008
PubMed
Summary

Nail changes in pemphigus vulgaris (PV) are common, affecting over 30% of patients. These changes, like paronychia and onychomadesis, are linked to skin and periungual blisters, indicating disease severity.

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Granulocyte-dependent Autoantibody-induced Skin Blistering

Published on: October 12, 2012

Area of Science:

  • Dermatology
  • Autoimmune Blistering Diseases

Background:

  • Pemphigus vulgaris (PV) is an autoimmune condition with unclear nail manifestation patterns.
  • The frequency and specific types of nail changes in PV require further elucidation.

Purpose of the Study:

  • To investigate the prevalence and characteristics of nail alterations in patients with pemphigus vulgaris.
  • To determine the correlation between nail changes and the extent of skin and periungual bullae in PV patients.

Main Methods:

  • A cohort of 79 patients diagnosed with pemphigus vulgaris was studied.
  • Clinical assessment of nails was performed, with microscopic examination and fungal cultures for abnormal nails.

Main Results:

  • Nail changes were observed in 31.6% of the 79 PV patients.
  • Paronychia and onychomadesis were the most frequent nail findings; onychomycosis was rare.
  • Nail alterations were significantly more common on fingers with periungual bullae and correlated with more extensive skin bullae and longer disease duration.

Conclusions:

  • Nail changes are a frequent clinical feature in pemphigus vulgaris.
  • The presence and number of skin bullae and periungual bullae are associated with the occurrence of nail changes in PV.