Nail disorders and their management:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2006
|
| Schriftenreihe: | Dermatologic clinics
24,3 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 291 - 406 zahlr. Ill. |
| ISBN: | 1416035745 |
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| 245 | 1 | 0 | |a Nail disorders and their management |c Aditya K. Gupta ..., guest eds. |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2006 | |
| 300 | |a X S., S. 291 - 406 |b zahlr. Ill. | ||
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| 338 | |b nc |2 rdacarrier | ||
| 490 | 1 | |a Dermatologic clinics |v 24,3 | |
| 650 | 4 | |a Nail (Anatomy) |x Diseases | |
| 650 | 4 | |a Nail Diseases | |
| 700 | 1 | |a Gupta, Aditya K. |e Sonstige |4 oth | |
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| adam_text | NAIL DISORDERS AND THEIR MANAGEMENT
CONTENTS
Preface ix
Aditya K. Gupta and Robert Baran
Surgical Anatomy of the Nail Apparatus 291
Eckart Haneke
Nail surgery is an integral part of dermatologic surgery. An in depth knowledge of the
anatomy, biology, physiology, and gross pathology of the entire nail unit is essential. In
particular, knowledge of nail histopathology is necessary to perform diagnostic nail
biopsies and other nail procedures correctly.
Common Nail Tumors 297
Robert Baran and Bertrand Richert
Nail abnormalities are varied and numerous. They include warts, keratoacanthomas,
onychomatricomas, fibrokeratomas, osteochondromas, tumors (ie, glomus, giant cell,
Koenen s, and others), and Bowen s disease. Although the gravity of these conditions
may vary, prompt diagnosis and treatment is of the utmost importance. This article dis¬
cusses the most common defects associated with the nail unit and its surrounding tissue,
as well as the differential diagnosis and treatment of these conditions.
Basic Nail Surgery 313
Bertrand Richert
Patients often fear nail surgery because of the pain associated with anesthesia and post¬
operative care. Potential dystrophic sequelae are of concern to the practitioner. A thoro¬
ugh knowledge of the techniques of anesthesia, nail anatomy, and surgical procedures
is a prerequisite for successful nail surgery with almost no pain and minimal scarring.
It also is mandatory to involve a dermatopathologist who is familiar with the histologic
idiosyncrasies of the nail unit.
Ultrasound Imaging of Nails 323
Ximena Wortsman and Gregor B.E. Jemec
The nail apparatus contains tissues of various echogenicities and is thus well suited for
ultrasound examination. Furthermore, ultrasonography is widely available and non
invasive and may therefore be used for longitudinal studies of tissues and diseases.
VOLUME 24 • NUMBER 3 • JULY 2006 v
Characteristic ultrasound pictures can be seen in psoriasis, cysts, vascular abnormalities,
and other nail diseases. Ultrasound examination can visualize and quantify morphologic
and functional aspects of nail biology.
Pigmented Nail Disorders 329
Josette Andre and Nadine Lateur
Nail pigmentation is defined by the presence of melanin in the nail plate. It most fre¬
quently has the appearance of a longitudinal pigmented band, called longitudinal mel
anonychia (LM). LM is an important aspect of ungual pathology because it can be the
first sign of nail apparatus melanoma. The aim of this article is to help distinguish those
types of melanonychia that are worrisome and should lead to biopsy from those that are
reasonably reassuring and need only be followed clinically. Histology, differential diag¬
nosis, and biopsy techniques also are considered.
The Nail in Systemic Diseases 341
Antonella Tosti, Matilde Iorizzo, Bianca Maria Piraccini, and Michela Starace
Although abnormalities of the nails have been reported in different systemic disorders,
most of these abnormalities are nonspecific. This article reports and discusses only those
nail signs that provide the clinician with clues for the diagnosis of systemic disorders.
Common Nail Disorders 349
Mark Holzberg
Common skin diseases often present with nail changes. This article reviews the nail man¬
ifestations of psoriasis, lichen planus, alopecia areata, and twenty nail dystrophy. There
is considerable overlap in the nail findings in these cutaneous conditions, but nail
changes distinct to each do exist.
Childhood Nail Diseases 355
David de Berker
The diagnosis of pediatric nail populations is complicated because a large proportion of
pediatric nail presentations involve parents bringing in their children with questions re¬
garding nail appearance rather than the plain presentation of a disease or functional pro¬
blem. Parents are concerned whether the nails are normal, if they are uncomfortable for
the baby or child, if the nails will affect walking or other future function, or if the changes
are of wider significance and suggest more sinister medical problems than are yet appar¬
ent. To address these concerns, the clinician needs a good grasp of what is normal.
Diagnosing Onychomycosis 365
Aditya K. Gupta and Mary Jo Ricci
Onychomycosis is the most prevalent nail disease, representing nearly half of all clini¬
cally diagnosed onychopathies. Given the pervasive nature of the disease and that suc¬
cessful treatment depends on the proper identification of the causative organism,
accurate and reliable methods of diagnosis are necessary. This article discusses the effi¬
cacy of the various methods used for the diagnosis of onychomycosis.
vi CONTENTS
Spotlight on Nail Histomycology 371
Gerald E. Pierard, Pascale Quatresooz, and Jorge E. Arrese
The misdiagnosis of onychomycosis delays the proper treatment of the nail condition.
Nail histomycology refers to the microscopic examination of histologic sections prepared
from nail clippings for the purpose of detecting the presence of fungi. This laboratory
method is the most sensitive procedure for the diagnosis of onychomycosis. It allows
for the visualization of the precise location of the invasive fungus inside the nail appa¬
ratus. The method also distinguishes various shapes of the fungal cells, in particular fi¬
lamentous fungi, yeasts, conidia, and sporodochia. The correct diagnosis provided by
histomycology combined with culture not only allows for more efficient expenditure
of funds and services but also is important for the timely alleviation of the disorder.
Therapies for Onychomycosis: A Review 375
Aditya K. Gupta and Linh Q. Tu
Onychomycosis, a chronic fungal infection of the nail, can be treated using various mod¬
alities. Surgical, chemical, topical, and oral methods are reviewed in this article, with an
emphasis on the three systemic treatments approved by the US Food and Drug Admin¬
istration: terbinafine, itraconazole, and griseofulvin.
Onychomycosis Therapies: Strategies to Improve Efficacy 381
Aditya K. Gupta and Linh Q. Tu
The combination of relatively high treatment failure rates and infection relapse rates
warrants consideration of ways in which antifungal therapy can be delivered so that
efficacy rates can be improved. These involve the combination of available therapies
and/or a modification of treatment regimens.
Drug induced Nail Diseases 387
Bianca Maria Piraccini, Matilde Iorizzo, Michela Starace, and Antonella Tosti
Although many nail disorders have been associated with drug intake, most reports are
anecdotal. Most nail changes caused by drugs are the outcome of acute toxicity to the
nail epithelia; nail symptoms depend on which nail structure is damaged. The most com¬
mon symptoms include Beau s lines/onychomadesis, melanonychia, onycholysis, and
periungual pyogenic granulomas. Drug induced nail abnormalities are usually transi¬
tory and disappear with drug withdrawal, but sometimes persist over time. This article
reviews drugs that have been consistently associated with nail abnormalities.
Nail Cosmetics 393
Phoebe Rich
Nail cosmetics are used worldwide by millions of women who desire attractive, adorned
nails. Smooth, shiny fingernails and toenails are highly desirable and an entire industry
is devoted to achieving that end for the consumer. The grooming and decoration of nails
is a well ingrained cultural ritual in many countries of the world. In the United States
alone, $6.4 billion was spent on nail salon services in the year 2004.
Index 401
CONTENTS vii
|
| adam_txt |
NAIL DISORDERS AND THEIR MANAGEMENT
CONTENTS
Preface ix
Aditya K. Gupta and Robert Baran
Surgical Anatomy of the Nail Apparatus 291
Eckart Haneke
Nail surgery is an integral part of dermatologic surgery. An in depth knowledge of the
anatomy, biology, physiology, and gross pathology of the entire nail unit is essential. In
particular, knowledge of nail histopathology is necessary to perform diagnostic nail
biopsies and other nail procedures correctly.
Common Nail Tumors 297
Robert Baran and Bertrand Richert
Nail abnormalities are varied and numerous. They include warts, keratoacanthomas,
onychomatricomas, fibrokeratomas, osteochondromas, tumors (ie, glomus, giant cell,
Koenen's, and others), and Bowen's disease. Although the gravity of these conditions
may vary, prompt diagnosis and treatment is of the utmost importance. This article dis¬
cusses the most common defects associated with the nail unit and its surrounding tissue,
as well as the differential diagnosis and treatment of these conditions.
Basic Nail Surgery 313
Bertrand Richert
Patients often fear nail surgery because of the pain associated with anesthesia and post¬
operative care. Potential dystrophic sequelae are of concern to the practitioner. A thoro¬
ugh knowledge of the techniques of anesthesia, nail anatomy, and surgical procedures
is a prerequisite for successful nail surgery with almost no pain and minimal scarring.
It also is mandatory to involve a dermatopathologist who is familiar with the histologic
idiosyncrasies of the nail unit.
Ultrasound Imaging of Nails 323
Ximena Wortsman and Gregor B.E. Jemec
The nail apparatus contains tissues of various echogenicities and is thus well suited for
ultrasound examination. Furthermore, ultrasonography is widely available and non
invasive and may therefore be used for longitudinal studies of tissues and diseases.
VOLUME 24 • NUMBER 3 • JULY 2006 v
Characteristic ultrasound pictures can be seen in psoriasis, cysts, vascular abnormalities,
and other nail diseases. Ultrasound examination can visualize and quantify morphologic
and functional aspects of nail biology.
Pigmented Nail Disorders 329
Josette Andre and Nadine Lateur
Nail pigmentation is defined by the presence of melanin in the nail plate. It most fre¬
quently has the appearance of a longitudinal pigmented band, called longitudinal mel
anonychia (LM). LM is an important aspect of ungual pathology because it can be the
first sign of nail apparatus melanoma. The aim of this article is to help distinguish those
types of melanonychia that are worrisome and should lead to biopsy from those that are
reasonably reassuring and need only be followed clinically. Histology, differential diag¬
nosis, and biopsy techniques also are considered.
The Nail in Systemic Diseases 341
Antonella Tosti, Matilde Iorizzo, Bianca Maria Piraccini, and Michela Starace
Although abnormalities of the nails have been reported in different systemic disorders,
most of these abnormalities are nonspecific. This article reports and discusses only those
nail signs that provide the clinician with clues for the diagnosis of systemic disorders.
Common Nail Disorders 349
Mark Holzberg
Common skin diseases often present with nail changes. This article reviews the nail man¬
ifestations of psoriasis, lichen planus, alopecia areata, and twenty nail dystrophy. There
is considerable overlap in the nail findings in these cutaneous conditions, but nail
changes distinct to each do exist.
Childhood Nail Diseases 355
David de Berker
The diagnosis of pediatric nail populations is complicated because a large proportion of
pediatric nail presentations involve parents bringing in their children with questions re¬
garding nail appearance rather than the plain presentation of a disease or functional pro¬
blem. Parents are concerned whether the nails are normal, if they are uncomfortable for
the baby or child, if the nails will affect walking or other future function, or if the changes
are of wider significance and suggest more sinister medical problems than are yet appar¬
ent. To address these concerns, the clinician needs a good grasp of what is normal.
Diagnosing Onychomycosis 365
Aditya K. Gupta and Mary Jo Ricci
Onychomycosis is the most prevalent nail disease, representing nearly half of all clini¬
cally diagnosed onychopathies. Given the pervasive nature of the disease and that suc¬
cessful treatment depends on the proper identification of the causative organism,
accurate and reliable methods of diagnosis are necessary. This article discusses the effi¬
cacy of the various methods used for the diagnosis of onychomycosis.
vi CONTENTS
Spotlight on Nail Histomycology 371
Gerald E. Pierard, Pascale Quatresooz, and Jorge E. Arrese
The misdiagnosis of onychomycosis delays the proper treatment of the nail condition.
Nail histomycology refers to the microscopic examination of histologic sections prepared
from nail clippings for the purpose of detecting the presence of fungi. This laboratory
method is the most sensitive procedure for the diagnosis of onychomycosis. It allows
for the visualization of the precise location of the invasive fungus inside the nail appa¬
ratus. The method also distinguishes various shapes of the fungal cells, in particular fi¬
lamentous fungi, yeasts, conidia, and sporodochia. The correct diagnosis provided by
histomycology combined with culture not only allows for more efficient expenditure
of funds and services but also is important for the timely alleviation of the disorder.
Therapies for Onychomycosis: A Review 375
Aditya K. Gupta and Linh Q. Tu
Onychomycosis, a chronic fungal infection of the nail, can be treated using various mod¬
alities. Surgical, chemical, topical, and oral methods are reviewed in this article, with an
emphasis on the three systemic treatments approved by the US Food and Drug Admin¬
istration: terbinafine, itraconazole, and griseofulvin.
Onychomycosis Therapies: Strategies to Improve Efficacy 381
Aditya K. Gupta and Linh Q. Tu
The combination of relatively high treatment failure rates and infection relapse rates
warrants consideration of ways in which antifungal therapy can be delivered so that
efficacy rates can be improved. These involve the combination of available therapies
and/or a modification of treatment regimens.
Drug induced Nail Diseases 387
Bianca Maria Piraccini, Matilde Iorizzo, Michela Starace, and Antonella Tosti
Although many nail disorders have been associated with drug intake, most reports are
anecdotal. Most nail changes caused by drugs are the outcome of acute toxicity to the
nail epithelia; nail symptoms depend on which nail structure is damaged. The most com¬
mon symptoms include Beau's lines/onychomadesis, melanonychia, onycholysis, and
periungual pyogenic granulomas. Drug induced nail abnormalities are usually transi¬
tory and disappear with drug withdrawal, but sometimes persist over time. This article
reviews drugs that have been consistently associated with nail abnormalities.
Nail Cosmetics 393
Phoebe Rich
Nail cosmetics are used worldwide by millions of women who desire attractive, adorned
nails. Smooth, shiny fingernails and toenails are highly desirable and an entire industry
is devoted to achieving that end for the consumer. The grooming and decoration of nails
is a well ingrained cultural ritual in many countries of the world. In the United States
alone, \$6.4 billion was spent on nail salon services in the year 2004.
Index 401
CONTENTS vii |
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| spelling | Nail disorders and their management Aditya K. Gupta ..., guest eds. Philadelphia [u.a.] Saunders 2006 X S., S. 291 - 406 zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Dermatologic clinics 24,3 Nail (Anatomy) Diseases Nail Diseases Gupta, Aditya K. Sonstige oth Dermatologic clinics 24,3 (DE-604)BV000004924 24,3 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015480094&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Nail disorders and their management Dermatologic clinics Nail (Anatomy) Diseases Nail Diseases |
| title | Nail disorders and their management |
| title_auth | Nail disorders and their management |
| title_exact_search | Nail disorders and their management |
| title_exact_search_txtP | Nail disorders and their management |
| title_full | Nail disorders and their management Aditya K. Gupta ..., guest eds. |
| title_fullStr | Nail disorders and their management Aditya K. Gupta ..., guest eds. |
| title_full_unstemmed | Nail disorders and their management Aditya K. Gupta ..., guest eds. |
| title_short | Nail disorders and their management |
| title_sort | nail disorders and their management |
| topic | Nail (Anatomy) Diseases Nail Diseases |
| topic_facet | Nail (Anatomy) Diseases Nail Diseases |
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