The splint can prevent contracture of the nail matrix and nail bed. Widening and flattening the nail bed using an aspiration tube splint provided a longstanding effective treatment of pincer nail deformity and pain relief. The authors have indicated no significant interest with commercial supporters.
Congenital micronychia may involve big toes or may involve other nails. The etiology of micronychia is not clear but amniotic bands, teratogens (drugs, alcohol), Nail Patella Syndrome etc. A 44-year-old woman with multiple isolated congenital micronychia over her hands and feet was selected. The major affected nails were thumbs and Index fingers. Surgical method were done step by step: Anesthesia of the area, extraction of short nail, elevation of nail bed, longitudinal nail bed incisions, suturing the lateral nail bed to the nail wall, covering the nail bed by a splint of plastic suction tube, bandage with gauze Vaseline. Finally, we hypnotized that in congenital micronychia, the main pathology is in nail bed; through this theory by nail bed expansion better outcomes are coming.
Background: Various skin diseases such as psoriasis, lichen planus, and alopecia areata can be associated with structural nail lesions. However, nail lesions prevalence in patients with severe acne vulgaris is not determined. This study aimed to determine the frequency and types of nail lesions in patients with severe acne vulgaris. Methods: In this cross-sectional study, 235 patients with severe acne vulgaris were included from the clinic of dermatology of Rasoul-e-akram Hospital during the 2010-2011. The patients had no history of treatment for acne vulgaris. Patients initially underwent clinical examination, and severity of acne was determined among them. Demographic characteristics such as sex, age, and blood type, and nail disorders including brittleness, onycholysis, and leukonychia were investigated in these patients. Data were analyzed using SPSS 18 software. Results: In this study,79 (33.6%) patients with severe acne vulgaris had nail involvement and the frequency of nail lesions in this study were as follow: brittle nails 26.8% (63 cases); leukonychia 18.2% (43 cases); parrot-beaked nails 3.4% (8 cases) and onycholysis 1.3% (3 cases). Nail disorders in patients with severe acne vulgaris were not associated with sex, blood group, and the severity and distribution of acne lesions. However, the lower age of the patients was associated with the incidence of nail disorders.
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