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APRIL 5, 2008

Examining Fingernails in elderly patients (4/5)
Abnormalities of the nail are often caused by skin disease, infection & medical conditions.

Author: Mark E. Williams - Medscape.com

Content:

  • INTRODUCTION
  • OBSERVING THE NAIL SHAPE AND SURFACE
  • OBSERVING THE NAIL COLOUR
  • PROCESSES AROUND THE NAIL
  • CASES


    PROCESSES AROUND THE NAIL


  • Paronychial Inflammation:

    Paronychia is associated with separation of the seal between the proximal nail fold and the nail plate that provides entry for bacteria and leads to a localized infection of the paronychial tissues of the hands (Figure 29). Symptoms may include inflammation, swelling, and/or scaling.




    Figure 29: Example chronic paronychial inflammation.

    Chronic paronychia inflamation nail


    Mucus Cyst:

    A mucous or myxoid cyst is a collection of degenerative collagen that can cause swelling and ridging of the nail above the cyst, forming a "gutter" (Figure 30).














    Figure 30: Example of a mucus cyst.

    Mucus cyst


    Periungal Telangeictasia:

    Periungal telangeictasia is caused by dilated capillary loops and results in atrophy of the cuticle (Figure 30). It is strongly associated with collagen vascular disease, including the following:

  • Systemic lupus erythematosus;
  • Dermatomyositis (especially with Gotton's papules over knuckles);
  • Scleroderma.


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