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Dermatology Images

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DermAtlas: NAIL, ALL - nail-patella syndrome
© 2001-2009, DermAtlas
Image Name: NAIL_PATELLA_SYND_1_090518   File Type: jpg
Diagnosis: NAIL-PATELLA SYNDROME /
NAIL DYSTROPHY
  Category: genodermatosis/genetic disorder
Body Site: nail, all   Age: 52 years
Contributor: Sandeep Kumar    
Description: thin, hypoplastic easily fractured dysplastic nails
Comments: This 52-year-old man with nail-patella syndrome demonstrated the characteristic nail dystrophy. He also had hypoplastic patellae and absent radial heads bilaterally.

DermAtlas: NAIL, HAND - Beau lines
© 2001-2009, DermAtlas
Image Name: Beau_s_lines_1_081210   File Type: jpg
Diagnosis: BEAU LINES /
NAIL DYSTROPHY
  Category: nail disorders
Body Site: nail, hand / nail, all   Age: 3 years
Contributor: Yashpal Manchanda, MD    
Description: transverse grooves with splitting and peeling of all of his nails
Comments: This healthy 3-year-old boy had transverse grooves in all of his nails which slowly advanced outward for 3 months. Four months before the nail changes were first noted he had a high fever for 2 days associated with a viral upper repsiratory infection.

DermAtlas: NAIL, ALL - onycholysis
© 2001-2009, DermAtlas
Image Name: photoonycholysis_1_080928   File Type: jpg
Diagnosis: ONYCHOLYSIS /
PHOTOONYCHOLYSIS /
DRUG REACTION /
DRUG REACTION, PHOTOONYCHOLYSIS
  Category: photosensitivity, photoexacerbated /
treatment complication
Body Site: nail, all   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: subungual patches with distal yellow discoloration partially surrounded by pink discoloration proximally
Comments: This healthy adolescent, who was placed on minocycline for acne 2 months earlier, developed somewhat tender nails with onycholysis of almost every nail. She was an avid swimmer and spent most of the summer in the sun.
Related Images: All related Images  photoonycholysis_3_080928  photoonycholysis_2_080928 

DermAtlas: NAIL, ALL - onycholysis
© 2001-2009, DermAtlas
Image Name: photoonycholysis_2_080928   File Type: jpg
Diagnosis: ONYCHOLYSIS /
PHOTOONYCHOLYSIS /
DRUG REACTION /
DRUG REACTION, PHOTOONYCHOLYSIS
  Category: photosensitivity, photoexacerbated /
treatment complication
Body Site: nail, all   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: subungual patches with distal yellow discoloration partially surrounded by pink discoloration proximally
Comments: This healthy adolescent, who was placed on minocycline for acne 2 months earlier, developed somewhat tender nails with onycholysis of almost every nail. She was an avid swimmer and spent most of the summer in the sun.
Related Images: All related Images  photoonycholysis_3_080928  photoonycholysis_1_080928 

DermAtlas: NAIL, ALL - onycholysis
© 2001-2009, DermAtlas
Image Name: photoonycholysis_3_080928   File Type: jpg
Diagnosis: ONYCHOLYSIS /
PHOTOONYCHOLYSIS /
DRUG REACTION /
DRUG REACTION, PHOTOONYCHOLYSIS
  Category: photosensitivity, photoexacerbated /
treatment complication
Body Site: nail, all   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: subungual patches with distal yellow discoloration partially surrounded by pink discoloration proximally
Comments: This healthy adolescent, who was placed on minocycline for acne 2 months earlier, developed somewhat tender nails with onycholysis of almost every nail. She was an avid swimmer and spent most of the summer in the sun.
Related Images: All related Images  photoonycholysis_2_080928  photoonycholysis_1_080928 

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: NAIL, ALL - alopecia areata
© 2001-2009, DermAtlas
Image Name: Alopecia_Areata_1_080714   File Type: jpg
Diagnosis: ALOPECIA AREATA   Category: nail disorders /
hair disorders
Body Site: nail, all   Age: 11 years
Contributor: Alvin Jay Freeman, MD    
Description: scotch-plaid pitting
Comments: This 11-year-old girl had a 9 year history of scotch-plaid pitting with distal flattening over all 20 digits associated with unilateral parietal/occipital alopecia. She was treated with steroidal creams and minoxidil for alopecia with minimal improvement.

DermAtlas: CANTHUS, INNER - carcinoma, basal cell
© 2001-2009, DermAtlas
Image Name: basal_cell_carcinoma_1_061030   File Type: jpg
Diagnosis: CARCINOMA, BASAL CELL   Category: neoplasm, malignant
Body Site: canthus, inner / nail, all
neck
  Age: 65 years
Contributor: Carmine Taglialatela Scafati    
Description: 1.2 cm ulcerated violaceous plaque.
Comments: A 65-year-old man developed a 1.2-cm ulcerated plaque on the right medial canthus exteding on to the nose. A biopsy revealed a basal cell carcinoma which was excised and repaired with a rotation flap.

DermAtlas: NAIL, ALL - pachyonychia congenita
© 2001-2009, DermAtlas
Image Name: pachyonychia_congenita_1_060213   File Type: jpg
Diagnosis: PACHYONYCHIA CONGENITA /
NAIL DYSTROPHY
  Category: nail disorders /
genodermatosis/genetic disorder
Body Site: nail, all   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: yellow thickened nails with subungual scale
Comments: This healthy newborn had an older sister with similar nail changes, white sponge nevus on the oral mucosa, and keratotic papules on the knees. He had oral leukoplakia as well.
Related Images: All related Images  pachyonychia_congenita_4_060213  pachyonychia_congenita_3_060213  pachyonychia_congenita_2_060213 

DermAtlas: NAIL, ALL - pachyonychia congenita
© 2001-2009, DermAtlas
Image Name: pachyonychia_congenita_2_060213   File Type: jpg
Diagnosis: PACHYONYCHIA CONGENITA /
NAIL DYSTROPHY
  Category: nail disorders /
genodermatosis/genetic disorder
Body Site: nail, all   Age: 2 months
Contributor: Bernard Cohen, MD    
Description: yellow thickened nails with subungual scale
Comments: This healthy newborn had an older sister with similar nail changes, white sponge nevus on the oral mucosa, and keratotic papules on the knees. He had oral leukoplakia as well.
Related Images: All related Images  pachyonychia_congenita_4_060213  pachyonychia_congenita_3_060213  pachyonychia_congenita_1_060213 

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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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