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Nail changes in patients with inflammatory bowel diseases
Özlem Ekiz1, Ebru Çelik1, İlknur Balta2
1Department of Dermatology, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey.
Nail changes are more common in patients with inflammatory bowel disease (IBD). This study identified specific nail alterations and fungal infections like onychomycosis in IBD patients compared to controls.
Area of Science:
- Gastroenterology
- Dermatology
- Clinical Medicine
Background:
- Inflammatory bowel disease (IBD) encompasses chronic inflammatory conditions affecting the gastrointestinal tract.
- Limited research exists on the spectrum of nail changes associated with IBD, excluding onychomycosis.
- This study investigates the prevalence and characteristics of nail abnormalities in IBD patients.
Purpose of the Study:
- To determine the frequency and patterns of nail changes in patients diagnosed with inflammatory bowel disease.
- To explore potential associations between nail alterations and various clinical parameters within the IBD cohort.
- To establish a baseline understanding of nail manifestations in IBD.
Main Methods:
- A comparative study involving 73 IBD patients and 51 healthy controls.
- Systematic examination of nails for color, texture, curvature, dystrophy, and pigmentation.
- Mycological assessments were conducted for suspected cases of onychomycosis.
Main Results:
- Nail changes were significantly more prevalent in the IBD group compared to the control group (P = 0.001).
- Onychomycosis occurred significantly more frequently in patients with IBD (P = 0.041).
- Subungual hyperkeratosis and brownish nail discoloration were the most frequently observed nail findings in IBD patients.
Conclusions:
- This research represents the first comprehensive report detailing diverse nail changes in inflammatory bowel disease.
- Further extensive research is warranted to elucidate the full spectrum and implications of nail abnormalities in IBD.
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