CO2 Laser-Assisted Avulsion of the Proximal Nail Plate as a New Treatment Strategy in Patients Affected by Retronychia

Sechi, Andrea; Iorizzo, Matilde; Piraccini, Bianca Maria; Cannata, G

doi:10.1097/dss.0000000000003890

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…While treatment and prognosis of retronychia is more difficult with often adverse outcomes [ 12 ] , for paronychia symptoms, 0.05% clobetasol propionate cream or intralesional triamcinolone acetonide can be tried for mild to moderate cases [ 13 ] . In severe cases, the standard treatment is removing the proximal part or the entire nail plate surgically, or better still with a CO 2 laser [ 13 – 14 ] . The differential diagnosis is given in Table 1 [ 2 , 5 , 15 – 16 ] .…”

Section: Discussionmentioning

confidence: 99%

Differential diagnosis of retronychia, onychomycosis and onychomadesis

Wahlen,

El-Menyar,

Elkholy

2024

European Journal of Case Reports in Internal Medicine

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Background: In rare dermatology cases the differential diagnosis is challenging, e.g. when one nail is growing below another, the provisional diagnosis could be confusing. It may present as chronic paronychia, candidiasis, bacterial infections, rheumatoid arthritis, psoriasis, subungual tumours, or cysts. Case description: We present a case of iatrogenic rupture of the nails of both big toes following a commonly known recommendation from physiotherapists in the initial stages of hallux valgus or chronic arthritis by using kinesio tape to prevent the big toe from fixation in the valgus position. The initial provisional diagnosis of retronychia was revised, and a final diagnosis of onychomadesis was made. The patient’s complaint was solved after around one year without any specific therapy. Conclusion: The differential diagnosis for onychomadesis needs a careful and detailed history that may prevent a patient from a frightening diagnosis and painful, long-lasting treatments.

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Section: Discussionmentioning

confidence: 99%

Differential diagnosis of retronychia, onychomycosis and onychomadesis

Wahlen,

El-Menyar,

Elkholy

2024

European Journal of Case Reports in Internal Medicine

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Nail Avulsion: Update with Technical Tips for Successful Outcomes

Jellinek,

Baltz

2024

Skin Appendage Disord

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Background: Nail avulsion is a procedure with numerous nuanced iterations and uses within the management of nail diseases, that when performed with intention and skill can imbue the clinician with the ability to manage myriad nail conditions. Summary: This manuscript serves as a reference for the multiple techniques of nail avulsion as well as clinical indications in various disease states. Key Messages: Nail avulsion is an often over-simplified procedure with a multitude of uses and variations in technique. This manuscript should serve as an introduction to nail avulsion in the diagnosis and treatment of multiple nail conditions.

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CO2 Laser-Assisted Avulsion of the Proximal Nail Plate as a New Treatment Strategy in Patients Affected by Retronychia

Cited by 2 publications

References 5 publications

Differential diagnosis of retronychia, onychomycosis and onychomadesis

Differential diagnosis of retronychia, onychomycosis and onychomadesis

Nail Avulsion: Update with Technical Tips for Successful Outcomes

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