Nail Formation Disorders

Nail Formation Disorders: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate exogenous (external) nail formation disorders* : Nail bed hematoma – bruising under the nail, leading to black discoloration of the nails. Leukonychia striata or Mees stripes – white horizontal stripes. Leukonychia punctata – punctate white coloration. Leukonychia partialis – circumscribed white coloration. Leukonychia totalis – complete, homogeneous, white … Nail Formation Disorders: Symptoms, Complaints, Signs

Nail Formation Disorders: Or something else? Differential Diagnosis

Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Congenital heart defects, unspecified Heart valve defects Respiratory system (J00-J99) Asbestosis – lung disease belonging to the pneumoconioses (dust lung diseases), said to result from inhaled asbestos dust. Bronchiectasis (synonym: bronchiectasis) – permanently existing irreversible saccular or cylindrical dilatation of the bronchi (medium-sized airways), which may be congenital … Nail Formation Disorders: Or something else? Differential Diagnosis

Nail Formation Disorders: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Nails In exogenous (external) nail formation disorders: Nail bed hematoma (bruise under the nail, leads to black discoloration of the nails). Leukonychia striata or Mees stripes (white horizontal stripes). … Nail Formation Disorders: Examination

Nail Formation Disorders: Lab Test

Laboratory parameters of the 2nd order – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Mycological or microbiological examinations – if inflammatory changes are suspected. Nail clipping for histopathological (fine … Nail Formation Disorders: Lab Test

Nail Formation Disorders: Drug Therapy

Therapy recommendations Drug therapy for nail formation disorders depends on the underlying cause. For nutritive (“nourishing”) therapy, a dietary supplement for skin, hair and nails can be taken if necessary. See also under “Further therapy“. Further notes Psoriasis-related nail changes (yellowish-brownish discoloration of the nail plates): Use of a nail polish containing clobetasol (clobetasol propionate/derivative … Nail Formation Disorders: Drug Therapy

Nail Formation Disorders: Diagnostic Tests

Optional medical device diagnostics – depending on the results of history, physical examination, laboratory diagnostics and obligatory medical device diagnostics – for differential diagnostic workup X-rays of the affected hand – if rheumatoid arthritis, collagenoses (group of connective tissue diseases caused by autoimmune processes are suspected). X-ray of the thorax (X-ray thorax / chest), in … Nail Formation Disorders: Diagnostic Tests

Nail Formation Disorders: Micronutrient Therapy

Nail dystrophy (nail formation disorder) may indicate a deficiency of the following vital nutrients (micronutrients): Iron Zinc Protein deficiency Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for therapy: Biotin The above vital substance recommendations were created with the help of medical experts. All statements are supported by … Nail Formation Disorders: Micronutrient Therapy

Nail Formation Disorders: Therapy

General measures Exogenous nail formation disorders are mostly caused by external influences such as injuries. Therefore, care should be taken to avoid injury to the nail as much as possible. Review of permanent medication due topossible effect on the existing disease. Avoidance of environmental stress: Arsenic Carbon monoxide Thallium Operative therapy Ingrown toenail (unguis incarnatus) … Nail Formation Disorders: Therapy

Nail Formation Disorders: Medical History

Medical history (history of illness) represents an important component in the diagnosis of nail formation disorders. Family history Are there frequent nail changes in your family? Social anamnesis Current medical history/systemic history (somatic and psychological complaints). Have you noticed any nail changes? Please describe them. Do you have brittle nails or ridges on your nails? … Nail Formation Disorders: Medical History