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 © 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. | ||||
 © 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. | ||||
 © 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. | ||||
 © 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. | ||||
 © 2001-2009, DermAtlas | Image Name: | median_nail_dyatrophy_2_080815 | File Type: | jpg | |
| Diagnosis: | NAIL DYSTROPHY / NAIL DYSTROPHY, MEDIAN / DERMATITIS, ATOPIC | Category: | nail disorders / papulosquamous eruptions | ||
| Body Site: | nail, hand | Age: | 45 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | narrow transverse creases with a central longitudinal white yellow groove and crusting as well as pink scaly lichenified plaques surrounding the nail | ||||
| Comments: | This healthy 45-year-old woman with a hand dermatitis was a chronic nail picker. Only the thumbnails were involved. | ||||
| Related Images: | median_nail_dyatrophy_1_080815 | ||||
 © 2001-2009, DermAtlas | Image Name: | median_nail_dyatrophy_1_080815 | File Type: | jpg | |
| Diagnosis: | NAIL DYSTROPHY / NAIL DYSTROPHY, MEDIAN / DERMATITIS, ATOPIC | Category: | nail disorders / papulosquamous eruptions | ||
| Body Site: | nail, hand | Age: | 45 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | narrow transverse creases with a central longitudinal white yellow groove and crusting as well as pink scaly lichenified plaques surrounding the nail | ||||
| Comments: | This healthy 45-year-old woman with a hand dermatitis was a chronic nail picker. Only the thumbnails were involved. | ||||
| Related Images: | median_nail_dyatrophy_2_080815 | ||||
 © 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 | ||||
 © 2001-2009, DermAtlas | Image Name: | acrokeratosis_neoplastica_3_071126 | File Type: | jpg | |
| Diagnosis: | BAZEX SYNDROME / ACROKERATOSIS PARANEOPLASTICA / NAIL DYSTROPHY | Category: | papulosquamous eruptions / cutaneous sign of systemic disease / nail disorders | ||
| Body Site: | toe / foot | Age: | 45 years | ||
| Contributor: | Eric Ehrsam, MD | ||||
| Description: | symmetric red scaly and erosive plaques with yellow scaly nails and subungual debris | ||||
| Comments: | A 45-year-old man was evaluated for painful psoriasiform lesions of his fingers. On examination he was noted to have acral psoriasisform and erosive lesions on his ears and toes typical of Bazex syndrome (acrokeratosis neoplastica). Palpation of the left cervical area revealed a firm lymph node which is shown on this picture. Ear, nose, and throat examination demonstrated squamous cell carcinoma of the tonsil. Bazex syndrome is most often associated with squamous cell carcinoma of the upper aerodigestive tract. | ||||
| Related Images: | All related Images acrokeratosis_neoplastica_1_071126 acrokeratosis_neoplastica_2_071126 acrokeratosis_neoplastica_4_071126 acrokeratosis_neoplastica_5_071126 acrokeratosis_neoplastica_6_071126 acrokeratosis_neoplastica_7_071126 | ||||
 © 2001-2009, DermAtlas | Image Name: | nail_1_071004 | File Type: | jpg | |
| Diagnosis: | NAIL DYSTROPHY | Category: | nail disorders | ||
| Body Site: | nail, hand | Age: | 42 years | ||
| Contributor: | Ben Meyer | ||||
| Description: | vertically oriented stippling | ||||
| Comments: | A healthy 42-year-old man noted unusual stippling on his right thumb. He denied a history of trauma. | ||||
 © 2001-2009, DermAtlas | Image Name: | Sclerotylosis_3_071104 | File Type: | jpg | |
| Diagnosis: | HURIEZ SYNDROME / SCLEROTYLOSIS / NAIL DYSTROPHY / KERATODERMA, PALMOPLANTAR | Category: | genodermatosis/genetic disorder / paraneoplastic syndrome / nail disorders | ||
| Body Site: | nail, hand / finger hand / finger | Age: | 56 years | ||
| Contributor: | Eric Ehrsam, MD | ||||
| Description: | sclerotic, atrophic hands and fingers with nail hypoplasia and crusting and erythema on the tops of hands | ||||
| Comments: | A 56-year old man was noted to have acrosclerosis and nail atrophy of fingers. He developed two squamous cell carcinomas on his left index that lead to an amputation. His father and one brother had similar findings. Sclerotylosis or Huriez Syndrome is a genodermatosis characterized by sclerodactyly, nail anomalies, and palmar-plantar keratoderma. Other associated findings include telangiectasias of the lip, flexural contractures of the fifth finger, and poikiloderma of the nasal skin. Patients with Huriez syndrome have a high risk of developing cutaneous squamous cell carcinomas as well as gastrointestinal tumors. (Delaporte E et al: Keratoderma with scleroatrophy of the extremities or sclerotylosis (Huriez syndrome): a reappraisal. Brit. J. Derm. 1995; 133: 409-416) | ||||
| Related Images: | All related Images Sclerotylosis_1_071104 Sclerotylosis_2_071104 | ||||
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