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Julie Tastesen Johannessen1, Jacob Juel1

  • 1Plastikkirurgisk Afdeling, Aalborg Universitetshospital.

Ugeskrift for Laeger
|November 29, 2023
PubMed
Summary
This summary is machine-generated.

Nail disturbances are common, mostly benign, but can include melanoma. This review covers nail changes, their causes, and clinical features to aid diagnosis and prevent unnecessary surgery.

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Area of Science:

  • Dermatology and Nail Disorders

Background:

  • Nail apparatus disturbances are frequently encountered, predominantly benign in nature.
  • Melanonychia, presenting as nail plate discoloration (brown to black), is a significant clinical concern.
  • Accurate diagnosis of nail changes is crucial for appropriate patient management.

Approach:

  • This review investigates the diverse aetiology of nail disturbances.
  • It examines common benign conditions alongside less frequent malignant diagnoses, including melanoma.
  • Epidemiology, pathophysiology, and clinical presentations of nail changes are analyzed.

Key Points:

  • Understanding the spectrum of nail disorders is essential for clinicians.
  • Differentiating benign nail conditions from concerning pigmented lesions like melanonychia is critical.

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  • Knowledge of nail pathology aids in avoiding unwarranted surgical interventions.

    • Conclusions:

    • A comprehensive understanding of nail apparatus disturbances is imperative for accurate diagnosis.
    • Distinguishing benign nail changes from melanoma prevents unnecessary procedures.
    • This review provides insights into the aetiology and clinical features of common and rare nail conditions.