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Nail abnormalities in patients with chronic leg ulcers: clues to systemic conditions
Aurora Alessandrini1, Francesca Bruni2,3, Francesca Pampaloni4,3
1Oncologic Dermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Background:
Nail alterations are rarely given significant importance in general consultation, but they are frequent especially in patients with chronic leg ulcers (CLU).
Methods:
We performed a cross-sectional observational study enrolling all outpatients referring to our Dermatologic Open Injury Outpatient Service between January 2024 and September 2024 with a diagnosis of chronic leg ulcer comparing the prevalence of nail disorders with a healthy population.
Results:
We identified nail alterations, including onychomycosis, pachyonychia, onychogryphosis, cuticle hyperkeratosis, associated with different systemic conditions.
Conclusions:
We underlined the importance of nail examination in patients with CLU for the correct diagnosis and a best management of several vascular and/or systemic diseases.
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