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DermAtlas: NAIL, FOOT - ingrown toenails, congenital
© 2001-2009, DermAtlas
Image Name: congenital_toe_nail_malalignment_1_081127   File Type: jpg
Diagnosis: INGROWN TOENAILS, CONGENITAL /
MALALIGNMENT OF NAIL /
MALFORMATION, CONGENITAL
  Category: neonatal dermatology /
Genetic Disorder /
congenital malformation
Body Site: nail, foot   Age: 3 months
Contributor: Bernard Cohen, MD    
Description: malalignment of the great toe nail with ingrown toe nail
Comments: This healthy infant girl had congenital malalignment of both great toe nails with redness associated with ingrowing of the nails medially. Her mother had a history of ingrown toe nails requiring surgery.
Related Images: All related Images  congenital_toe_nail_malalignment_3_081127  congenital_toe_nail_malalignment_2_081127 

DermAtlas: NAIL, FOOT - ingrown toenails, congenital
© 2001-2009, DermAtlas
Image Name: congenital_toe_nail_malalignment_2_081127   File Type: jpg
Diagnosis: INGROWN TOENAILS, CONGENITAL /
MALALIGNMENT OF NAIL /
MALFORMATION, CONGENITAL
  Category: neonatal dermatology /
Genetic Disorder /
congenital malformation
Body Site: nail, foot   Age: 3 months
Contributor: Bernard Cohen, MD    
Description: malalignment of the great toe nail with ingrown toe nail
Comments: This healthy infant girl had congenital malalignment of both great toe nails with redness associated with ingrowing of the nails medially. Her mother had a history of ingrown toe nails requiring surgery.
Related Images: All related Images  congenital_toe_nail_malalignment_3_081127  congenital_toe_nail_malalignment_1_081127 

DermAtlas: NAIL, FOOT - ingrown toenails, congenital
© 2001-2009, DermAtlas
Image Name: congenital_toe_nail_malalignment_3_081127   File Type: jpg
Diagnosis: INGROWN TOENAILS, CONGENITAL /
MALALIGNMENT OF NAIL /
MALFORMATION, CONGENITAL
  Category: neonatal dermatology /
Genetic Disorder /
congenital malformation
Body Site: nail, foot   Age: 3 months
Contributor: Bernard Cohen, MD    
Description: malalignment of the great toe nail with ingrown toe nail
Comments: This healthy infant girl had congenital malalignment of both great toe nails with redness associated with ingrowing of the nails medially. Her mother had a history of ingrown toe nails requiring surgery.
Related Images: All related Images  congenital_toe_nail_malalignment_2_081127  congenital_toe_nail_malalignment_1_081127 

DermAtlas: NAIL, FOOT - onychogryposis
© 2001-2009, DermAtlas
Image Name: Onychogryphosis_1_080819   File Type: jpg
Diagnosis: ONYCHOGRYPOSIS /
NAIL DYSTROPHY
  Category: nail disorders
Body Site: nail, foot / toe   Age: 38 years
Contributor: Yashpal Manchanda, MD    
Description: ragged brownish green scaly nail with subungual and periungual scale
Comments: This brownish green dystrophic was asymptomatic in this 38-year-old woman. There was no history of trauma.

DermAtlas: Histology - onychomycosis
© 2001-2009, DermAtlas
Image Name: candida_onychomycosis_1_080801   File Type: jpg
Diagnosis: ONYCHOMYCOSIS   Category: infections and infestations
Body Site: nail, foot   Age: 48 years
Contributor: Greg Hosler, MD, PhD    
Description: Histologic sections are of nail plate. Focal serm collects on the undersurface of the nail. Organisms are difficult to appreciate at this power.
Comments: Onychomycosis is a very common condition, often caused by dermatophyes. In this particular case, the organisms are budding yeast forms, most consistent with Candida spp. There is some histologic overlap between these and the spores of dermatophytes, but the presence of budding and a more dark purple color allows distinction. Additionally, there are no hyphal structures. Candida is a common cause of paronychia and may colonize the nail plate.
Related Images: candida_onychomycosis_2_080801 

DermAtlas: Histology - onychomycosis
© 2001-2009, DermAtlas
Image Name: candida_onychomycosis_2_080801   File Type: jpg
Diagnosis: ONYCHOMYCOSIS   Category: infections and infestations
Body Site: nail, foot   Age: 48 years
Contributor: Greg Hosler, MD, PhD    
Description: The organisms are evident at high power. The deep red-purple organisms are morphologically consistent with yeast. Budding elements are present. There are no hyphae or pseudohyphae in this specimen.
Comments: Onychomycosis is a very common condition, often caused by dermatophyes. In this particular case, the organisms are budding yeast forms, most consistent with Candida spp. There is some histologic overlap between these and the spores of dermatophytes, but the presence of budding and a more dark purple color allows distinction. Additionally, there are no hyphal structures. Candida is a common cause of paronychia and may colonize the nail plate.
Related Images: candida_onychomycosis_1_080801 

DermAtlas: NAIL, FOOT - nail dystrophy
© 2001-2009, DermAtlas
Image Name: traumatic_nails_1_0808156   File Type: jpg
Diagnosis: NAIL DYSTROPHY /
PURPURA /
SUBUNGUAL HEMORRHAGE
  Category: environmental injury /
nail disorders /
normal physiologic variant
Body Site: nail, foot / nail, all   Age: 42 years
Contributor: Sherry Guralnick Cohen, CRNP-F    
Description: subungual hemorrhage, onycholysis, and fracture of the great toes nails; longitudinal grooves of all nails
Comments: This healthy 42-year-old man complained of discoloration of his great toe nails. Although he denied trauma, he was an avid tennis player which may have resulted in repetitive trauma to the great toe nails. Note the shallow longitudinal grooves which were seen on all nails and represent a normal variant which increases with increasing age.

DermAtlas: FACE - KID (keratitis, ichthyosis, deafness) syndrome
© 2001-2009, DermAtlas
Image Name: KID_syndrome_9_080216   File Type: jpg
Diagnosis: KID (KERATITIS, ICHTHYOSIS, DEAFNESS) SYNDROME   Category: genodermatosis/genetic disorder /
papulosquamous eruptions
Body Site: face / nail, foot   Age: 32 years
Contributor: Benjamin Lockshin    
Description: scar/graft on right foot, dystrophic nails, thick warty yellow plaques
Comments: This 32-year-old man was noted to have neurosensory deafness and widespread red, scaly, scaly plaques at birth. Over the next decade he developed symmetric generalized warty plaques with most prominent involvement of the face and extremities. Hair was sparse at birth and decreased as the papules and plaques thickened on the scalp, axillae, and face. Nails were atrophic at birth, and yellowing and scaling with increased friability developed during the first year. Keratoderma of the palms and soles with a leather grain-like texture typical of KID syndrome was apparent by adolescence. Chronic conjunctivitis, photophobia, and keratitis were present as well as perioral furrowing. Dramatic hyperkeratosis of plaques on the scalp and feet required regular monitoring for squamous cell carcinoma. Note the scar from excision and grafting of a tumor on the top of the left foot.
Related Images: All related Images  KID_syndrome_1_080216  KID_syndrome_2_080216  KID_syndrome_3_080216  KID_syndrome_4_080216  KID_syndrome_5_080216  KID_syndrome_6_080216  KID_syndrome_7_080216  KID_syndrome_8_080216 

DermAtlas: FOOT - KID (keratitis, ichthyosis, deafness) syndrome
© 2001-2009, DermAtlas
Image Name: KID_syndrome_8_080216   File Type: jpg
Diagnosis: KID (KERATITIS, ICHTHYOSIS, DEAFNESS) SYNDROME   Category: genodermatosis/genetic disorder /
papulosquamous eruptions
Body Site: foot / nail, foot   Age: 32 years
Contributor: Benjamin Lockshin    
Description: diffuse symmetric scaly warty reddish-brown papules and plaques
Comments: This 32-year-old man was noted to have neurosensory deafness and widespread red, scaly, scaly plaques at birth. Over the next decade he developed symmetric generalized warty plaques with most prominent involvement of the face and extremities. Hair was sparse at birth and decreased as the papules and plaques thickened on the scalp, axillae, and face. Nails were atrophic at birth, and yellowing and scaling with increased friability developed during the first year. Keratoderma of the palms and soles with a leather grain-like texture typical of KID syndrome was apparent by adolescence. Chronic conjunctivitis, photophobia, and keratitis were present as well as perioral furrowing. Dramatic hyperkeratosis of plaques on the scalp and feet required regular monitoring for squamous cell carcinoma. Note the scar from excision and grafting of a tumor on the top of the left foot.
Related Images: All related Images  KID_syndrome_1_080216  KID_syndrome_2_080216  KID_syndrome_3_080216  KID_syndrome_4_080216  KID_syndrome_5_080216  KID_syndrome_6_080216  KID_syndrome_7_080216  KID_syndrome_9_080216 

DermAtlas: FOOT - KID (keratitis, ichthyosis, deafness) syndrome
© 2001-2009, DermAtlas
Image Name: KID_syndrome_4_080216   File Type: jpg
Diagnosis: KID (KERATITIS, ICHTHYOSIS, DEAFNESS) SYNDROME /
KERATODERMA, PALMOPLANTAR /
NAIL DYSTROPHY
  Category: genodermatosis/genetic disorder /
papulosquamous eruptions /
nail disorders
Body Site: foot / toe
nail, foot
  Age: 32 years
Contributor: Benjamin Lockshin    
Description: keratoderma, thick yellow warty plaques, nail dystrophy
Comments: This 32-year-old man was noted to have neurosensory deafness and widespread red, scaly, scaly plaques at birth. Over the next decade he developed symmetric generalized warty plaques with most prominent involvement of the face and extremities. Hair was sparse at birth and decreased as the papules and plaques thickened on the scalp, axillae, and face. Nails were atrophic at birth, and yellowing and scaling with increased friability developed during the first year. Keratoderma of the palms and soles with a leather grain-like texture typical of KID syndrome was apparent by adolescence. Chronic conjunctivitis, photophobia, and keratitis were present as well as perioral furrowing. Dramatic hyperkeratosis of plaques on the scalp and feet required regular monitoring for squamous cell carcinoma. Note the scar from excision and grafting of a tumor on the top of the left foot.
Related Images: All related Images  KID_syndrome_1_080216  KID_syndrome_2_080216  KID_syndrome_3_080216  KID_syndrome_5_080216  KID_syndrome_6_080216  KID_syndrome_7_080216  KID_syndrome_8_080216  KID_syndrome_9_080216 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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