By Robert Baran, Ivan Bristow, Rodney P. R. Dawber, Ekart Haneke, Antonella Tosti
A useful diagnostic relief for dermatologists and podiatrists. finished assurance of pathologies affecting the toe and finger nails is accomplished via complete dialogue, supported by means of large use of colour images.
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Extra info for A Text Atlas of Nail Disorders: Techniques in Investigation and Diagnosis
14 Isolated forms: • local injury, whitlow, lymphangitis • subungual epidermoid inclusions. 15 Transitory form: physiological in the newborn child (due to reversal of the circulation at birth). 16 Occupational acro-osteolysis (exposure to vinyl chloride). KOILONYCHIA Koilonychia (spoon-shaped nails) is the opposite of clubbing. The nail is firmly attached to bone by vertical dermal connective tissue bundles in the subungual area which bond directly to the bony periosteum. In the early stages of koilonychia there is flattening of the nail plate.
49 Macronychia of the middle finger. 50 Macronychia with macrodactyly in Proteus syndrome. 49). 50). 6 lists the known associations of micronychia and macronychia. 52 Bifid thumb. 51 Bifid toe. Duplication of the thumb is a sign of congenital polydactyly, one of the most common anomalies of the hand. 51). Seven types of thumb polydactyly can be distinguished according to the level of bone bifurcation. 53). Symphalangism is commonly observed. Thumb polydactyly may be sporadic, usually transmitted as an autosomal dominant trait with variable expressivity.
51 Bifid toe. Duplication of the thumb is a sign of congenital polydactyly, one of the most common anomalies of the hand. 51). Seven types of thumb polydactyly can be distinguished according to the level of bone bifurcation. 53). Symphalangism is commonly observed. Thumb polydactyly may be sporadic, usually transmitted as an autosomal dominant trait with variable expressivity. A similar clinical picture can be seen in the great toe with bifurcation of the terminal phalanx and duplication of the nail.