Nail is Systemic Disorders: Main Signs and Clues

Abstract

Nail alterations are common in systemic diseases, but most of them are not specific. Typical nail signs for systemic disease are rare, but should not be missed. Some nail signs should suggest a systemic disease, especially if present on several digits: Beau's lines, onychomadesis, splinter hemorrhages, clubbing, apparent leukonychia, abnormal nail fold capillaries, melanonychia, red lunula and pterygium inversum unguis.

Common diseases of the nail: Diagnosis and therapy

“…For the diagnosis of nail changes, a basic knowledge of nail anatomy and physiology is required [2]. Comprehensive dermatological and interdisciplinary experience is often very helpful for correct categorization [3,4]. Some contexts only emerge after targeted anamnesis and careful physical examination.…”

Häufige Nagelerkrankungen: Diagnostik und Therapie

“…Um Nagelveränderungen diagnostizieren zu können, bedarf es grundlegender Kenntnisse der Nagelanatomie und ‐physiologie [2]. Für die korrekte Einordung sind vielfach umfassende dermatologische und interdisziplinäre Kenntnisse hilfreich [3, 4]. Manche Zusammenhänge werden nur durch eine gezielte Anamnese und eine gründliche körperliche Untersuchung erkennbar.…”