Nail Surgery and Traumatic Abnormalities

Zook, Elvin G.; Baran, Robert; Heneke, E.; Dawber, R.P.R.; Brauner, G

doi:10.1002/9780470694947.ch10

Cited by 17 publications

(13 citation statements)

References 168 publications

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“…A combination of 20% urea and 10% salicylic acid ointment under a 2-week occlusion has been effectively used for minimally dystrophic nails. [30] Besides, a nail lacquer formulation containing 40% urea in a film-forming solution has been devised. In a study comprising 10 patients of onychomycosis, the urea nail lacquer was applied with a brush twice a day for 1 week by the patient and for a further week in two patients presenting with total dystrophic onychomycosis.…”

Section: Chemical Nail Avulsionmentioning

confidence: 99%

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Nail avulsion: Indications and methods (surgical nail avulsion)

Pandhi¹,

Verma²

2012

Indian J Dermatol Venereol Leprol

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The nail is a subject of global importance for dermatologists, podiatrists and surgeons. Nail avulsion is a frequently undertaken, yet simple, intriguing procedure. It may either be surgical or chemical, using 40% urea. The former is most often undertaken using the distal approach. Nail avulsion may either be useful for diagnostic purposes like exploration of the nail bed, nail matrix and the nail folds and before contemplating a biopsy on the nail bed or for therapeutic purposes like onychocryptosis, warts, onychomycosis, chronic paronychia, nail tumors, matricectomy and retronychia. The procedure is carried out mostly under local anesthesia with or without epinephrine (1:2,00,000 dilution). Besides the above-mentioned indications, the contraindications and complications of nail avulsion are briefly outlined.

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Section: Chemical Nail Avulsionmentioning

confidence: 99%

“…Distal [3,[29][30][31] and proximal avulsion are the two surgical approaches for undertaking nail avulsion. [29,32] Chemical avulsion with urea paste is another valid nonsurgical technique that may be used in certain situations.…”

Section: Procedures Of Nail Avulsionmentioning

confidence: 99%

Nail avulsion: Indications and methods (surgical nail avulsion)

Pandhi¹,

Verma²

2012

Indian J Dermatol Venereol Leprol

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“…Zook i wsp. zaproponowali inną skuteczną metodę, która polega na spłaszczaniu macierzy paznokcia [25,26]. W łagodnych przypadkach paznokci pincetowatych stosuje się leczenie zachowawcze.…”

Section: Discussionunclassified

“…The effective treatment modality was found to be permanent removal of the lateral matrix horns, which is also the simplest, least painful procedure [2]. Zook et al suggested another effective procedure which aims at flattening the sterile matrix (nail bed) and lateral portions of the germinal matrix [25,26]. Mild cases of pincer nail can be treated conservatively, which requires a long treatment period with a high recurrence rate but causes less discomfort to the patient.…”

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confidence: 99%

Pincer nails: an initial and isolated cutaneous manifestation of systemic lupus erythematosus

Pawar¹

2017

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Introduction. Pincer nail deformity due to systemic lupus erythematosus is a rare phenomenon and only three cases have been reported to date. Objective. To present a case of pincer nails in a systemic lupus erythematosus patient and a brief review of the literature. Case report. A 15-year-old girl presented with multiple painful pincer nail deformities, fever and joint pain of 6 months duration. On evaluation and laboratory investigations the patient fulfilled the criteria for systemic lupus erythematosus. Systemic treatment with glucocorticosteroids and antimalarials led to resolution of fever and joint pain but nail deformities did not improve. Conclusions. Pincer nail may be an early and important sign of systemic lupus erythematosus in certain patients. STRESZCZENIEWprowadzenie. Deformacja w postaci paznokci pincetowatych w przebiegu tocznia rumieniowatego układowego jest zjawiskiem rzadkim. Dotychczas w piśmiennictwie odnotowano zaledwie trzy takie przypadki. Cel pracy. Przedstawienie przypadku paznokci pincetowatych u pacjentki z toczniem rumieniowatym układowym oraz krótki przegląd piśmiennictwa. Opis przypadku. Piętnastoletnia pacjentka zgłosiła się z licznymi bolesnymi zniekształceniami w postaci paznokci pincetowatych, gorączką oraz bólami stawowymi, które utrzymywały się od 6 miesięcy. Badanie przedmiotowe i wyniki badań laboratoryjnych były zgodne z kryteriami diagnostycznymi tocznia rumieniowatego układowego. Po wdrożeniu leczenia ogólnoustrojowego glikokortykosteroidami i lekami przeciwmalarycznymi gorączka i ból stawów ustąpiły, jednak nie uzyskano poprawy stanu paznokci. Wnioski. Paznokcie pincetowate mogą być wczesnym i istotnym objawem tocznia rumieniowatego układowego u niektórych pacjentów.Key words: antimalarials, pincer nails, prednisolone, systemic lupus erythematosus. Słowa kluczowe: leki przeciwmalaryczne, paznokcie pincetowate, prednizolon, toczeń rumieniowaty układowy. INTRODUCTIONPincer nail (also known as omega nail, trumpet nail, convoluted nail, and unguis constringens) is the transverse over-curvature which progressively pinches the nail bed distally [1,2]. It increases in a proximal to distal direction, giving a trumpet appearance. It is more commonly observed on toes than on fingers [2]. It can be hereditary or acquired. An ill-fitting shoe is the most frequent acquired cause [3]. Different dermatoses, such as psoriasis (the most common dermatologic cause), tumors of the nail apparatus and tinea unguium can lead to pincer nail deformity [4,5]. Systemic diseases, placement of arteriovenous fistula (AVF) and use of medications, i.e. β-blockers such as practolol and acebutolol, can lead to pincer nail deformity [6][7][8][9][10][11][12]. Pincer nails associated with systemic lupus erythematosus (SLE) were described in 2005 [13], in 2016 [14] and recently in January, 2017 [15]; but to our knowledge, an isolated finding of pincer nails as the only presenting cutaneous manifestation of SLE has not been reported. CASE REPORTA 15-year-old girl born of non-consanguineous marria...

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“…Same needle can be used to nick the lateral nail fold groove at its most fluctuant point or other small superficial abscesses. [3,4] Piercing Ear piercing can be done using either standard technique (using only one 16 G needle) or simplified technique (using two needles of 21 G and 16 G) after giving local anesthesia. For nose piercing simple technique is advised, using 16 G needle.…”

Section: Needle As a Cutting Instrument Needle As A Cutting Instrumentmentioning

confidence: 99%