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Dermatology

Nail Disorders

Built from Dermatology, 5th Edition

The first 25 slides of Nail Disorders
The first 25 slides, exactly as they appear. The full deck has 137 content slides.

What’s inside

11 sections · 137 slides

  1. 01

    Overview

    • What this chapter covers

    1 slide

  2. 02

    Anatomy

    How the nail plate is built, and how it stays attached

    • Parts of the nail unit
    • How the matrix builds the plate
    • Nail matrix keratinization and pigment cells

    3 slides

  3. 03

    Nail Signs

    What each visible change tells you about where the damage sits

    • Reading a nail sign
    • Correlation of nail findings with anatomic site of nail damage
    • Three families of nail sign
    • Nail signs and nail disorders - composite overview
    • Beau's lines
    • Onychomadesis (nail shedding)
    • Onychomadesis after a nail-fold infection
    • Onychomadesis after hand-foot-and-mouth disease
    • Pitting
    • Onychorrhexis
    • Trachyonychia (twenty-nail dystrophy)
    • Trachyonychia - sandpapered nail surface
    • True leukonychia
    • Punctate and striate true leukonychia
    • Diffuse true leukonychia and its genetics
    • Diffuse true leukonychia
    • Koilonychia (spoon nails)
    • Causes of onycholysis
    • Onycholysis
    • Subungual hyperkeratosis
    • Apparent leukonychia
    • Splinter hemorrhages
    • Nail pigmentation - three sources
    • Longitudinal melanonychia
    • Causes of longitudinal melanonychia
    • Approach to longitudinal melanonychia
    • Nail dermoscopy for melanonychia
    • Green nail syndrome

    28 slides

  4. 04

    Congenital and Hereditary Nail Diseases

    Nail findings present at birth, or written into the genes

    • Congenital and hereditary nail disease
    • Selected hereditary disorders of the nails
    • Selected hereditary disorders of the nails (continued)
    • Congenital and hereditary nail disease
    • Congenital malalignment of the great toenails
    • Congenital malalignment - thickened, deviated toenails
    • Congenital hypertrophy of the lateral nail fold
    • Racquet thumbs (brachyonychia)
    • Nail-patella syndrome
    • Nail hypoplasia in nail-patella syndrome
    • Epidermolysis bullosa and ectodermal dysplasia
    • Pachyonychia congenita
    • Darier disease
    • Darier disease - V-shaped notching
    • Darier disease - red and white streaks

    15 slides

  5. 05

    The Nail in Dermatologic Diseases

    How common skin diseases show up in the nail

    • Psoriasis - diagnostic nail signs
    • Differential diagnosis of nail psoriasis
    • Psoriasis - other findings and treatment approach
    • Therapeutic ladder for nail psoriasis
    • Therapeutic ladder for nail psoriasis (continued)
    • Treatment algorithm for nail unit psoriasis
    • Acrodermatitis continua of Hallopeau
    • Differential diagnosis of acrodermatitis continua of Hallopeau
    • Treating acrodermatitis continua
    • Parakeratosis pustulosa
    • Nail lichen planus
    • Nail lichen planus - thinning and pterygium
    • Differential diagnosis of nail lichen planus
    • Treating nail lichen planus
    • Treatment algorithm for isolated nail lichen planus
    • Trachyonychia in inflammatory skin disease
    • Trachyonychia - sandpapered nail surface
    • Alopecia areata and nail changes
    • Eczema (dermatitis) and the nail

    19 slides

  6. 06

    The Nail in Systemic Diseases

    Nail findings that point beyond the skin

    • Clubbing
    • Systemic conditions associated with clubbing
    • Clubbing in pachydermoperiostosis
    • Yellow nail syndrome
    • Treating yellow nail syndrome
    • Apparent leukonychia in systemic disease
    • Three named patterns of apparent leukonychia
    • Muehrcke's nails during chemotherapy
    • Autoimmune connective tissue disease
    • HIV infection and the nail
    • Drug-induced nail changes
    • Drug-induced nail abnormalities
    • Drug-induced nail abnormalities (continued)
    • Severe onycholysis from an FGFR inhibitor
    • Periungual pyogenic granulomas from a drug
    • More drug-induced nail patterns

    16 slides

  7. 07

    Infections

    Bacterial, viral, and fungal disease of the nail unit

    • Acute paronychia
    • Treating acute paronychia
    • Warts around the nail
    • Therapeutic ladder for periungual warts
    • Therapeutic ladder for periungual warts (continued)

    5 slides

  8. 08

    Environmental Nail Disorders

    Damage from water, chemicals, and daily wear

    • Brittle nails (fragility, onychoschizia)
    • Treating brittle nails
    • Chronic paronychia
    • Treating chronic paronychia
    • Idiopathic onycholysis

    5 slides

  9. 09

    Traumatic Nail Abnormalities

    Mechanical injury, self-inflicted damage, and cosmetic trauma

    • How manicures and pedicures damage nails
    • Nail changes associated with a manicure or pedicure
    • Onychotillomania
    • Habit-tic deformity and median canaliform dystrophy
    • Treating onychotillomania
    • Subungual hematoma
    • Traumatic toenail abnormalities
    • Traumatic onycholysis of the hallux
    • Onycholysis due to hallux erectus
    • More toenail trauma patterns
    • Onychogryphosis
    • Pincer nails (trumpet nails)
    • Three patterns of onychocryptosis (ingrown toenail)
    • Three patterns of onychocryptosis
    • Treating ingrown toenails

    15 slides

  10. 10

    Nail Tumors

    Benign growths and cancers of the nail apparatus

    • Benign nail tumors - overview
    • Pyogenic granuloma of the nail unit
    • Fibromas and fibrokeratomas
    • Subungual exostosis
    • Subungual exostosis
    • Subungual exostosis - nodule elevating the plate
    • Myxoid cyst
    • Glomus tumor
    • Onychomatricoma
    • Onychomatricoma - thickened nail plate
    • Onychopapilloma
    • Onychopapilloma - subungual erythronychia
    • Melanocytic nevi of the nail matrix
    • Malignant nail tumors - overview
    • Four malignant tumors of the nail unit
    • Bowen disease of the nail
    • Keratoacanthoma and squamous cell carcinoma
    • Verrucous carcinoma
    • Nail melanoma
    • Amelanotic melanoma of the nail
    • ABCDEF rule for subungual melanoma
    • Hutchinson sign in nail melanoma
    • Key takeaways

    23 slides

  11. 11

    References

    Sources cited in this chapter

    • References
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • References (continued)
    • Dermatology, 5th Edition (2-Volume Set)

    7 slides