By Robert Baran, Ivan Bristow, Rodney P. R. Dawber, Ekart Haneke, Antonella Tosti
A useful diagnostic relief for dermatologists and podiatrists. complete assurance of pathologies affecting the toe and finger nails is accomplished via complete dialogue, supported by means of large use of colour photos.
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Extra resources for A Text Atlas of Nail Disorders: Techniques in Investigation and Diagnosis
These nails are not usually symmetrical and the lesser toe nails are not generally affected. 17). 3 Underlying disease, such as subungual exostosis of the toes and inflammatory osteoarthritis, should always be looked for, especially if the fingers are involved. 4 Some dermatological disorders, especially psoriasis, may also cause transverse overcurvature of the nails. 5 Localized overcurvature is observed in onychomatricoma. Tile-shaped nail The tile-shaped nail presents with an increase in the transverse curvature; the lateral edges of the nail remain parallel.
Parrot-beak nails are a typical sign of severe acrosclerosis with distal phalangeal resorption. The nail plate bends around the shortened fingertip. ROUND FINGERPAD The round fingerpad sign describes a modification in the contour of the fingerpad, which changes from peaked to hemispheric. 37). 35 Parrot-beak nails. 36 Parrot-beak nails—lateral view. 37 36 Nail configuration abnormalities Fingerpad sign in scleroderma. 38 Claw-like nail. 39 (a, b) Claw-like nail—frontal and lateral views. 40 Hook nail.
11 Koilonychia—transverse and longitudinal curvature evident. 5 Soft nails of any cause (mainly occupational) may also cause this condition. 16) are sometimes associated with other nail signs such as leukonychia. 2) Occupational koilonychia is often associated with mild nail-plate surface abnormalities and nail plate discoloration. 12 Koilonychia—temporary type of early infancy. 13 Physiological koilonychia and thinning in the toe nails of a 3-monthold infant. 14 Severe congenital koilonychia. 15 Koilonychia in hereditary ectodermal dysplasia.
A Text Atlas of Nail Disorders: Techniques in Investigation and Diagnosis by Robert Baran, Ivan Bristow, Rodney P. R. Dawber, Ekart Haneke, Antonella Tosti