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A hand surgeon's guide to common onychodystrophies
John R Fowler1, Elisha Stern2, Joseph C English2
1Department of Orthopaedics, University of Pittsburgh, Suite 1010, Kaufmann Bldg., 3471 Fifth Ave., Pittsburgh, PA 15213 USA.
Hand (New York, N.Y.)
|February 27, 2014
Summary
Nail abnormalities can indicate underlying health issues, prompting further investigation. This review covers common nail dystrophies and their diagnoses for hand surgeons.
Area of Science:
- Dermatology
- Hand Surgery
- Oncology
Background:
- The fingernail is crucial for finger dexterity, sensibility, fine object manipulation, and fingertip protection.
- Nail abnormalities are frequently encountered by hand surgeons.
- These abnormalities can signal systemic, dermatologic, traumatic, or infectious conditions requiring medical attention.
Purpose of the Study:
- To review common nail dystrophies.
- To discuss diagnoses associated with nail abnormalities.
Main Methods:
- Literature review of common nail dystrophies.
- Synthesis of diagnostic information for nail abnormalities.
Main Results:
- Common nail dystrophies include onychomycosis, psoriasis, lichen planus, and trauma-related changes.
- Nail abnormalities can manifest in various ways, such as discoloration, thickening, or separation from the nail bed.
- Differential diagnosis is essential for accurate identification and management.
Conclusions:
- Recognizing nail abnormalities is vital for early detection of underlying diseases.
- Hand surgeons play a key role in identifying and managing nail conditions.
- Prompt evaluation of nail changes can lead to timely treatment and improved patient outcomes.
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