trauma or tumor? the nail splay sign

Trauma or Tumor? The Nail Splay Sign

Trauma or Tumor? The Nail Splay Sign

DEAR EDITOR We describe a 90 year old lady presented with a 2 week history of a nonhealing and bleeding lesion on her right 2nd toe, on a background of one year’s history of chronic infection. The patient had not responded to oral antibiotics and was initially managed with fusidic acid and hydrocortisone acetate cream applied with daily to alternate-day dressings. A history of trauma as the cau...

Nail tumor after mechanical trauma

This article describes the case of a 62-year-old patient who developed an erosive nodular mass on the nail apparatus after receiving a trauma during a hunting incident. The lesion was initially diagnosed as an amelanotic melanoma of the nail apparatus, illustrating the fact that this type of lesion is often misdiagnosed – up to 85% of the time if the physician lacks dermatological expertise –an...

Trauma to the nail complex☆

OBJECTIVE to analyze the results from surgical intervention to treat trauma of the nail complex. METHODS we retrospectively reviewed a series of 94 consecutive patients with trauma of the nail complex who were treated between 2000 and 2009. In 42 patients, nail bed suturing was performed. In 27 patients, nail bed suturing was performed subsequent to osteosynthesis of the distal phalanx. In 15...

Direct Trauma to the Nail

excision of the pathologic or undesirable tissue by use of sharp instrumentation, or destruction of the pathologic tissue by physical means such as chemicals, freezing, electrogalvanism, burring, or lasering. Currently, the procedures most popular and most regularly performed are chemical. However, laser surgery is gaining popularity because the public currently perceives laser surgery as being...

Nail dystrophy: a rare sign of sarcoidosis

A 29yearold woman presented to our clinic for subungueal hyperkeratotic lesion of the fourth left toenail. In 1997, she developed systemic sarcoidosis with lung and cutaneous lesions. The patient required gradually tapered systemic corticosteroids for 4 years and methotrexate for 1 year to control lung disease. A few months previously a hyperkeratotic verrucous lesion developed beneath the dist...