Clinical and Sociodemographic Characteristics of Patients with Ingrown Nails

Mülayim

J of Cosmetic Dermatology

et al. 2023

Background/AimThe aim of the present study was to investigate the prevalence of obesity‐related dermatoses in obese children, and the association between these dermatoses and insulin resistance as well as skin color.MethodsObese, overweight, and normal weight children according to body mass index who were followed up and treated in the outpatient clinics were included in the study. Dermatological examinations of the participants were performed, and fasting insulin and glucose levels were checked.ResultsThe obese and overweight children were evaluated as the patient group (70 girls, 41 boys, mean age: 12.37 ± 3.14 years). One hundred one healthy children with normal weight were determined as the control group (59 girls, 42 boys, mean age: 12.15 ± 2.43). The first five common dermatoses in the patient group when compared with the control group were keratosis pilaris (KP), striae distensae, hyperhidrosis, acanthosis nigricans (AN), and plantar hyperkeratosis. The first five dermatoses which were positively correlated with formation and insulin resistance were KP, striae distensae, AN, hyperhidrosis, and plantar hyperkeratosis. According to the Fitzpatrick skin scale, we found that the darker the skin color, the higher the probability of AN and KP (OR, 0.298; 95% CI, 0.106–0.834, p = 0.021; OR, 0.306; 95% CI, 0.117–0.796, p = 0.015, respectively).ConclusionSome dermatoses associated with obesity and insulin resistance were not found in obese children, or there was no significant association. These results indicate that many skin morbidities may be prevented by preventing and treating obesity and insulin resistance in the early period.

Section: Discussioncontrasting

confidence: 76%

Dermatoses in overweight and obese children and their relationship with insulin and skin color

Mülayim

J of Cosmetic Dermatology

et al. 2023

Journal of the American Podiatric Medical Association

“…It has been reported that ingrown toenails are more common in patients who are overweight, lack good foot care, and do not wear appropriate shoes. [3] Our study's patients were normal in weight but lacked good foot care. Our study used the Heifetz classification.…”

Section: Discussionmentioning

confidence: 70%

“…[7,9,19] The popular Winograd technique is frequently reported to carry low recurrence rates; in this approach, the affected nail plate is excised together with the germinal matrix, and the nail tissue is sutured to the digit skin. [3,11] Studies have reported that germinal matrix cauterization (via electrocautery, sodium hydroxide exposure, or dichloracetic acid exposure) in addition to the Winograd technique reduces the recurrence rate of ingrown nails and increases patient satisfaction. [8,9,16] Nail brace application to the nail plate is another treatment option for ingrown nails of different morphologies.…”

Section: ____________________________________________________________...mentioning

confidence: 99%

Treatment of Ingrown Toenail with a Minimally Invasive Nail Fixator: Comparative Study with Winograd Technique

Ergün

Korkmaz²,

Ergün

et al. 2024

Background: Many surgical techniques have been reported for the treatment of ingrown toenails. Occurrences of infection after matricectomy procedures could cause clinicians to prefer using external braces to treat ingrown toenails. This study compares patients with ingrown toenails who underwent the nail fixation technique and the Winograd technique. Methods: Patients who underwent ingrown toenail surgery were retrospectively reviewed. The patients’ demographic characteristics (age, gender, body mass index [BMI] morphology according to Heifetz classification, surgical technique, visual analog scale (VAS) values, time to return to daily activities (days), complications, and satisfaction levels were all recorded. Results: Seventy patients were included in the study. Of the patients, 33 underwent nail fixation and 37 underwent the Winograd technique. No significant statistical differences were found in terms of patients’ age, gender, BMI, preoperative clinical features, long-term satisfaction, and ingrown toenail recurrence rates between the two groups, but time to return to daily activities and VAS values were statistically significantly lower in patients treated using nail fixation compared with the Winograd technique. Conclusion: Nail fixation can be an effective surgical treatment option for an ingrown toenail.

“…Younger males were probably more likely to be active in sports activities. [10][11][12] A history of matricectomy was reported to be an independent risk factor for recurrence after nail brace treatment. 13 However, in our study, a history of nail surgery was a significant risk factor…”

Section: Discussionmentioning

confidence: 99%

Risk factors for poorly controlled and recurrence-prone ingrown toenails treated with nail braces: A retrospective observational study of 238 cases

Wang¹,

Huang²

2021

IJDVL

Background: Nail braces are reportedly effective for treating both acute inflamed and chronic dystrophic type ingrown toenails. Aims: In this study, risk factors for poorly controlled and recurrence-prone ingrown toenails treated with nail braces were identified. Methods: We performed a retrospective study on patients with ingrown toenails between June 1, 2015, and May 31, 2018. The last follow-up date was January 31, 2019. Multivariate logistic regression was performed to evaluate the possible factors associated with poorly controlled status (ongoing paronychia during treatment) and recurrence. Results: There were 120 (244 sides) and 118 patients (167 sides) with chronic dystrophic and acute inflamed type ingrown toenails, respectively. The mean treatment duration and follow-up period were 161.2 ± 98.3 days and 432.7 ± 320.9 days, respectively. Poor control and recurrence were seen in 7.3% (17/232) and 12.2% (27/221) of the patients, respectively. In the multivariate analysis, acute inflamed ingrown toenails, previous nail avulsion, proximal nail fold hypertrophy and more than one affected side remained significantly associated with poorly controlled ingrown toenails. Foot bone deformity was significantly associated with recurrence. Limitations: This study was a retrospective study so that confounding factors such as comorbidities, body mass index, accompanying nail changes and lifestyle could not be evaluated. Conclusion: Several risk factors related to poor control and recurrence were identified. Patients could therefore benefit from more suitable treatment plans with reasonable expectation.