Nail dystrophy

Introduction

Introduction Nail dystrophy: A multi-factor-induced nail damage. Often involved all fingers, toenail. The patient's nails are thin, turbid, deformed, and fragile. The surface of the nail is tarnished and rough. There are often longitudinal and nail stripping. The fungal microscopy was negative. There is no effective treatment. In some patients, the condition gradually eases with age. More common in adolescents between the ages of 18 months and 18 years, most of them to adulthood, a small number of adults. Some patients also showed several nails with a dull, sand-like appearance, whose cause is unknown, and may be idiopathic, and some may be caused by partial eclipse and malnutrition. But there are no skin, hair, teeth and oral mucosal lesions.

Cause

Cause

A malnutrition can be the result of congenital hypothyroidism, also seen in acquired dystrophy. Many skin diseases such as psoriasis, malignant alopecia areata, lichen planus, syphilis, leprosy, systemic scleroderma, follicular keratosis, palmoplantar keratosis, premature aging, etc., can be accompanied by nutritional disorders of nail A. Systemic diseases such as nutritional deficiencies, hypothyroidism, and poisoning can also be caused. Others such as trauma, frostbite, burns and many local factors can also be caused. Symptoms can be improved after removing the cause.

Examine

an examination

Scraping the diseased debris is used for direct microscopic examination of fungi and fungal culture to exclude onychomycosis. Pathological examination and systemic examination if necessary.

Diagnosis

Differential diagnosis

There are streaks or spots on the nails: the nails are concave, which means that there are some horizontal stripes, vertical stripes and spots on the nails.

Finger (toe) nail brittle soft atrophy: finger (toe) nail soft atrophy is a clinical manifestation of pseudohypoparathyroidism. Patients with pseudohypoparathyroidism often find rough skin, hyperpigmentation, hair loss, finger nails, soft and atrophy, and even shedding, cataracts can occur in the intraocular lens.

The nails have yellow spots: the yellow spots on the nails indicate diseases that are affected by the digestive system.

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