Search Results for: nail%20unit

Therapeutic Strategies in Dermatology

Dermatomyositis: Clinical Case

…g the back of the neck and upper back There is erythema and flat-topped papules over the interphalangeal joints The proximal nail folds demonstrate violaceous erythema and thrombosed capillaries There is mild hyperkeratotic thickening of the lateral…

Therapeutic Strategies in Dermatology

Superficial Fungal Infections: Clinical Cases

…enails He has used over-the-counter cream for athlete’’s foot, which partially clears the rash on the feet but not the nails KOH examination of the feet and a nail clipping reveals branching hyphae Treatment Terbinafine 250 mg daily for 3-6…

Therapeutic Strategies in Dermatology

Dermatophyte Infections: Key Points

…cream (imidazole, allylamine) Systemic: antifungal (severe cases) 1-4 weeks Onychomycosis Systemic: terbinafine, fluconazole, or itraconazole Topical: efinaconazole, tavaborole, ciclopirox Systemic: 6 weeks (fingernails); 3 months (toenails)…

Longterm digital monitoring in the diagnosis and management of congenital nevi of the nail apparatus showing pseudo-Hutchinson’s sign

Longterm digital monitoring in the diagnosis and management of congenital nevi of the nail apparatus showing pseudo-Hutchinson’s sign

…lar fibrillar minute periungual pigmentation, which was not noticed at the clinical examination (Figure 3D), on the proximal nailfold, lateral nailfold, and hyponychium. The pigmentation on the hyponychium observed in 2007 seemed to have been…

Therapeutic Strategies in Dermatology

Dermatophyte Infections: Clinical Cases

…phic toenails He has used over-the-counter cream for athlete’s foot, which partially clears the rash on the feet but not the nails KOH examination of the feet and a nail clipping reveals branching hyphae Diagnosis Onychomycosis and tinea pedis…

Therapeutic Strategies in Dermatology

Lichen Planus: Treatment

Treatment Localized lichen planus Initial therapy First-line treatment: Superpotent topical steroid ointment or cream. Apply superpotent fluorinated topical steroid ointment or cream such as fluocinonide (such as Lidex), betamethasone (such as…

Therapeutic Strategies in Dermatology

Melanoma: Initial Evaluation

Initial Evaluation Melanoma frequently presents as an asymmetric pigmented lesion with an irregular scalloped border and uneven pigmentation. Some of the lesions are marked by hypopigmented areas (signifying areas of regression) or more darkly…

Therapeutic Strategies in Dermatology

Melanoma: Treatment

Treatment Initial therapy First-line therapy: Surgical excision For diagnosis, complete excisional biopsy with minimal margins, pathologically evaluated at multiple levels to determine the tumor thickness, as well as to determine presence of…

When all you have is a dermatoscope—start looking at the nails

When all you have is a dermatoscope—start looking at the nails

…the distal nail edge and the jagged margins are depicted. (Copyright: ©2014 Haenssle et al.) Systemic diseases involving the nail unit Nail psoriasis with pitted and thickened nails, onycholysis and psoriatic crumbling of the nail plate can easily…