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Nail Disease for the Primary Care Provider
Lauren K Biesbroeck1, Philip Fleckman1
1Division of Dermatology, University of Washington School of Medicine, 1959 Northeast Pacific Street, BB-1353, Box 356524, Seattle, WA 98195-6524, USA.
The Medical Clinics of North America
|October 18, 2015
Summary
Nail disorders encompass infections, inflammation, and tumors. Accurate diagnosis, often requiring fungal studies or biopsies, is crucial for effective treatment by physicians and dermatologists.
Area of Science:
- Dermatology
- Oncology
- Infectious Diseases
Background:
- Nail disorders are frequently encountered in clinical practice.
- Diagnoses span infectious, inflammatory, and neoplastic conditions.
- Onychomycosis is a prevalent nail condition requiring confirmed diagnosis.
Purpose of the Study:
- To highlight the diverse nature of nail disorders.
- To emphasize the importance of accurate diagnosis.
- To underscore the role of dermatologists in managing complex nail conditions.
Main Methods:
- Review of common nail pathologies.
- Discussion of diagnostic modalities including fungal studies and biopsies.
- Clinical evaluation by dermatologists.
Main Results:
- Nail disorders present a wide differential diagnosis.
- Fungal studies are essential for confirming onychomycosis.
- Subungual tumors necessitate biopsy and expert evaluation.
Conclusions:
- Prompt and accurate diagnosis is key for managing nail disorders.
- Dermatologists play a vital role in diagnosing and treating inflammatory and neoplastic nail conditions.
- Distinguishing onychomycosis from mimics requires careful evaluation.
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