
in 28 of cases Single digit affection was reported in 26 while all 20 nails affection in 8 All fingers were affected in 12 and only all toes in 4 and some digits in 50 of cases Fig 2 Nail changes presented in patients were loss of luster subungual thickening color changes onycholysis pitting ridging and or nail fold

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toenails which are exceptional in adults may occur Other signs of nail psoriasis include onycholysis with erythematous border and nail thickening due to subungual hyperkeratosis

Media file 1 Anatomy of the nail view from top Media type Illustration

her she is so ashamed of whats on her nail she even hides it away when shes talking to her clients and is begging me to put enhancements on her I just want to check what you guys think http i223 photobucket com albums d reama nail jpg sorry the picture isnt very clear Any advise would be welcome or should I just leave well alone until it has grown out Thanks alot

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© DermNet NZ Please do not copy without written permission Contact web master

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Symptoms of Fingernail Disorders During Chemotherapy Onycholysis loose fingernails caused by docetaxel Photo A M Minisini Annals of Oncology Nails may darken or turn yellow become brittle and crack easily Six or more high dose cycles of

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Media file 5 Nail psoriasis with pitting Image courtesy of Hon Pak MD Media type Photo

Media file 3 Nail psoriasis with nail loosening Image courtesy of Hon Pak MD Media type Photo

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© 2001 2009 DermAtlas

© 2001 2009 DermAtlas

© 2001 2009 DermAtlas

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CLOSE WINDOW Distal subungual onychomycosis Subungual hyperkeratosis onycholysis and yellow streak

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© 2001 2009 DermAtlas

and lateral nail folds or as a diffuse hyperkeratosis of the cuticle Fig 8 Subungual warts cause onycholysis that may sometimes have a linear pattern with splinter hemorrhages

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© 2001 2009 DermAtlas

to renal disease Nail Patella Syndrome Narcolepsy Nausea Nemaline Myopathy Neonatal Onset Multisystem Inflammatory Disease The Combined Federal Campaign changed the numbers for organ zations This photo shows hands of a patient with Nail Patella Syndrome Note some fingers with hypoplastic nails Nail Patella Syndrome Onycholysis Onychomatricoma Photo Related Diseases

If the slide opens in your browser select File > Save As to save it Click on image to view larger version Fig 2 Nail toxicity grade 2 onycholysis present on the left hand control but absent on the protected right hand

Psoriatic plaques typically involve the extensor surfaces of knees elbows the scalp hair margin and the sacrum Psoriatic nail dystrophy may mimic a fungal nail infection There is onycholysis lifting of the nail and subungual hyperkeratosis thick crumbly keratin under the distal

of daily living in up to 10 of patients Treatment with topical clobetasol and 40 urea and pain control with non steroidal anti inflammatories or neur ontin pregabalin may be necessary FIGURE 12 Docetaxel Periarticular thenar erythema with onycholysis PATEO syndrome Docetaxel Tax otere induced tender or pruritic eryhtema in dorsum of the hands along with subungual

© 2001 2009 DermAtlas