By Robert Baran, Ivan Bristow, Rodney P. R. Dawber, Ekart Haneke, Antonella Tosti
A useful diagnostic reduction for dermatologists and podiatrists. complete insurance of pathologies affecting the toe and finger nails is accomplished via complete dialogue, supported by way of wide use of colour images.
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Additional resources for A Text Atlas of Nail Disorders: Techniques in Investigation and Diagnosis
15 Koilonychia in hereditary ectodermal dysplasia. 16 Congenital koilonychia associated with total leukonychia. g. 17 Transverse overcurvature showing the three subtypes: (a) pincer or trumpet nail; (b) tile-shaped nail; and (c) plicatured nail with sharply angled lateral margins. g. 17). 23. 18 (a–d) Varying degrees of pincer nail deformity. 19). At this point the lateral borders tighten around the soft tissues, which are pinched without necessarily disrupting the epiderms. Eventually the soft tissue may actually disappear, sometimes accompanied by resorption of the underlying bone.
Pseudohypoparathyroidism XD or AR Puretic syndrome ? Rubinstein-Taybi syndrome AD Spiegler tumours and racquet ? 34 Brachyonychia in psoriatic arthropathy. (Courtesy of P. 36); this shape disappears temporarily if the nails are soaked in lukewarm water for about 30 minutes. This condition is often not seen in clinical practice because such patients usually trim their nails close to the line of separation from the nail bed. Parrot-beak nails are a typical sign of severe acrosclerosis with distal phalangeal resorption.
52 Bifid thumb. 51 Bifid toe. Duplication of the thumb is a sign of congenital polydactyly, one of the most common anomalies of the hand. 51). Seven types of thumb polydactyly can be distinguished according to the level of bone bifurcation. 53). Symphalangism is commonly observed. Thumb polydactyly may be sporadic, usually transmitted as an autosomal dominant trait with variable expressivity. A similar clinical picture can be seen in the great toe with bifurcation of the terminal phalanx and duplication of the nail.