By Phoebe Rich, Richard K. Scher
Illnesses of the nail characterize an incredibly huge component of so much dermatologists' perform - and will current tricky, occasionally intractable, medical difficulties. Co-authored by means of one of many world's leading professionals within the box, An Atlas of illnesses of the Nail offers specialist and authoritative assistance on all features of analysis and management.
A entire consultant to universal nail illnesses, the publication comprises anatomy and body structure of the nail unit, paronychia and onycholysis, nail fungal infections, nails in dermatologic ailments, nails in systemic disorder, nail beauty chemistry, nail cosmetics, medical elements, plus the therapy of nail issues and nail surgical procedure. studying the nail from each perspective, An Atlas of illnesses of the Nail provide you with a visible connection with nail ailments supported by means of textual content masking prognosis and therapy.
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Additional resources for An Atlas of Diseases of the Nail (The Encyclopedia of Visual Medicine Series)
The arrangement of the depressions in the surface of the nail can be in regular or in haphazard arrays. Pitting seen in psoriasis and alopecia areata, presumably due to the extent and location of the disease in the nail matrix, can be confluent or, more commonly, is scattered, although in alopecia areata a linear arrangement often occurs (Figure 52). When the pitting is uniformly distributed, giving the entire nail plate a roughened appearance, it is called trachyonychia (see section on trachyonychia).
If Candida is present, appropriate antifungal medications should be employed. Occasionally, a staphylococcal infection occurs under the onycholytic nail, at which time the drainage should be cultured and antibiotics given (Figure 34). Neglected subungual bacterial infection can result in osteomyelitis (Figure 35). If chronic unexplained onycholysis is present, the possibility of subungual squamous cell carcinoma should be considered and a biopsy performed (Figure 36). Figure 31 Photo-onycholysis in drug-induced onycholysis Figure 32 Self-induced onycholysis An atlas of diseases of the nail 28 Figure 33 Secondary infection by Pseudomonas in onycholysis Figure 34 Staphylococcal infection under the onycholytic nail Figure 35 Osteomyelitis ONYCHOSCHIZIA Onychoschizia is characterized by distal peeling and lamellar separation of the layers of the nail plate at the free edge.
An atlas of diseases of the nail 26 Affected areas appear white because there is air beneath the nail plate Figure 30 Onycholysis in psoriasis Onycholysis can be drug-induced, as in photoonycholysis (Figure 31) attributed to doxycycline, and it can be self-induced (Figure 32). Once the separation of the nail plate from the nail bed occurs, the space created beneath the loosened nail plate can become secondarily infected by microorganisms, particularly Candida albicans and Pseudomonas (Figure 33).
An Atlas of Diseases of the Nail (The Encyclopedia of Visual Medicine Series) by Phoebe Rich, Richard K. Scher