Sunday 7 September 2014

Dermatology Made Simple: Changes in Nails Part 2


Changes in Nails  Part 2

Beau Line:

This refers to a partial thickness transverse break in nail plate.

This represents a temporary arrest in nail matrix development process.

It may affect a number of nails.

It can happen during times of illness as well as in association with nail diseases such as eczema and psoriasis.






Longitudinal nail splits:

These may be sinle or multiple.

An single split on nail usually represents an area of focal nail damage.

This canbe due to one of the following causes:

Acute trauma or injury to the nail.

Repeated trauma from external object.

In case there are multiple longitudinal aplits,they canbe due to a generalized inflammatory or degenerative process.

The casues for these include:

Lichen planus

Aging

Darier”s Diseases


Darier"s Disease

Darier"s Disease is characterized by dark crusty patches on the skin, sometimes containing pus. The crusty patches are also known as keratotic papules.

Mild forms of the disease are the most common, consisting solely of skin rashes that flare-up under certain conditions such as high humidity, high stress or tight-fitting clothes. 

Even in mild forms, short stature combined with poorly formed fingernails containing vertical striations are diagnostic.


 

Skin Lesions in Darier"s Disease

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