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Nailing the diagnosis. (Dermatology).
Primary care physicians need to pay more attention to their patients' fingernails and toenails, Dr. Clay Cockerell said at the annual meeting of the Texas Academy of Family Physicians.
Nail diseases are interesting, but they "are often overlooked during office visits," said Dr. Cockerell of the University of Texas, Dallas. He discussed the following common nail disorders and the diseases with which they're often associated:
* Clubbing. This condition causes increased nail curvature due to hypertrophy in the soft tissue. Lovibond's angle--the junction between the nail plate and the proximal nail fold--increases to more than 180 degrees. This angle is normally less than 160 degrees. "It becomes an obtuse angle, and it's bowed outward like a little dome," Dr. Cockerell said. Clubbing is associated with inflammatory bowel disease, lung carcinoma, ...
- Ultrasound biomicroscopy of the skin to detect a subclinical neuroma of the...
- Magazine article from: Indian Journal of Dermatology, Venereology and Leprology Bhatt, Kalpana Fernandes, Rui Dhurat, Rachita January 1, 2006 700+ words
...dermis and epidermis of the skin of the proximal nail-fold of the left thumb was detected...an area of 2 mm in the region of the proximal nail-fold of the left thumb. An X-ray...A diagnosis of glomus tumor of the proximal nail fold was made. Excisional biopsy of...
- Nails Can Provide Clues to Internal Disease Processes.(Brief Article)
- Magazine article from: Family Practice News BRUNK, DOUG October 1, 2001 700+ words
...between the nail plate and the proximal nail fold--increases to more...may run in families. * Nail shedding. This may be due to proximal nail separation extending distally...drugs also can cause it. Nail shedding is usually transient but...
- Bilateral thumbnail deformity: was there a connection between the patient's...
- Magazine article from: Journal of Family Practice Farnell, Edwin A. November 1, 2008 700+ words
...unconscious rubbing or picking of the proximal nail folds. Horizontal grooves are formed...includes median nail dystrophy, chronic proximal nail fold inflammation, onychomycosis...of the same disorder. (1) Chronic proximal nail fold inflammation. Chronic paronychia...
- Reticulate and stellate acral pigmentation associated with systemic lupus...
- Magazine article from: Journal of Drugs in Dermatology Scheinfeld, Noah S DiCostanzo, Damian D Cohen, Steven R December 1, 2003 700+ words
...blue-black pigmentation of his ten proximal nail folds and fingertips. A diagnosis...exactly when the hyperpigmentation of his proximal nail folds developed. He denied any other...patient appeared well; however, his proximal nail folds possessed a fine, wiry blue...
- Periungual acquired digital fibrokeratoma.(Images in Clinical Practice)(Case...
- Magazine article from: Indian Journal of Dermatology, Venereology and Leprology Kumari, Rashmi Thappa, Devinder Devi, Abarna January 1, 2009 700+ words
...colored growth arising beneath the proximal nail fold with multiple digitations on the...a wedge-shaped incision over the proximal nail fold. The histopathological section...the lesion emerges from beneath the proximal nail fold with a narrow base and hyperkeratotic...
- Topical steroids, hand protection best for chronic...
- Magazine article from: Internal Medicine News Boschert, Sherry October 1, 2006 700+ words
...contact dermatitis that affects the proximal nail fold, so treating it with systemic...environmental agents penetrate the proximal nail fold, causing inflammation in the...and bacteria also may penetrate the proximal nail fold, leading to secondary colonization...
- Many factors affect how to biopsy nail streaks.(Clinical Rounds)
- Magazine article from: Skin & Allergy News Evans, Jeff April 1, 2007 700+ words
...biopsy. Dr. Richert reclines the proximal nail fold to punch out the origin of the...important to check the underside of the proximal nail plate for pigmentation because the...makes it important to recline the whole proximal nail fold to expose the entire matrix to...
- Systemic antifungals miss root of chronic paronychia.(Clinical Rounds)
- Magazine article from: Skin & Allergy News Boschert, Sherry October 1, 2006 700+ words
...contact dermatitis that affects the proximal nail fold, so treating it with systemic...environmental agents penetrate the proximal nail fold, causing inflammation in the...and bacteria also may penetrate the proximal nail fold, leading to secondary colonization...
- Nail streaks in subungual melanoma often missed.(Skin Disorders)
- Magazine article from: Family Practice News Evans, Jeff November 15, 2004 700+ words
...nail matrix and will extend to the proximal nail fold, Dr. Washington said. A smaller...biopsy techniques use reflection of the proximal nail fold, which may identify the proximal...find it useful sometimes to mark the proximal nail fold, so that once you evulse the...
- Five factors help guide nail streak management.(Skin Disorders)
- Magazine article from: Family Practice News Evans, Jeff September 1, 2007 700+ words
...Richert said that he reclines the proximal nail fold to punch out the origin of the...important to check the underside of the proximal nail plate for pigmentation because the...makes it important to recline the whole proximal nail fold to expose the entire matrix to...
Source: HighBeam Research, Nailing the diagnosis. (Dermatology).