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Nail and hyperkeratotic problems in the elderly foot.

A E Helfand1

  • 1Pennsylvania College of Podiatric Medicine, Philadelphia.

American Family Physician
|February 1, 1989
PubMed
Summary

Common toenail disorders in the elderly, such as subungual hemorrhage and mycotic infections, are linked to factors like poor vision and gait changes. Proper management is crucial to prevent serious complications, including amputation.

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Area of Science:

  • Podiatry
  • Geriatric Medicine
  • Dermatology

Background:

  • Elderly individuals frequently experience common toenail disorders.
  • Conditions include subungual hemorrhage, onychauxis, onychogryphosis, mycotic infections, onychia, and paronychia.
  • Contributing factors encompass visual impairment, altered gait, prior foot issues, and neurovascular disease.

Purpose of the Study:

  • To review common toenail disorders in the elderly.
  • To identify contributing factors and secondary conditions.
  • To emphasize the importance of ongoing management.

Main Methods:

  • Literature review of common toenail disorders in geriatric populations.
  • Analysis of etiological factors and secondary hyperkeratotic disorders.
  • Discussion of chronic condition management and potential complications.

Main Results:

  • Identified prevalent toenail conditions in the elderly population.
  • Highlighted multifactorial causes including sensory and circulatory deficits.
  • Noted hyperkeratotic disorders often result from pressure.
  • Chronic nature necessitates continuous care.

Conclusions:

  • Effective management of elderly toenail disorders is essential.
  • Untreated conditions pose risks, including potential amputation.
  • Ongoing care strategies are vital for patient well-being.

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