Objective To present family physicians with common nail alterations and disorders occurring in the elderly population and their management options. Quality of evidence The evidence relating to different nail conditions is mostly derived from randomized controlled trials, meta-analyses, and review articles. However, given the scarcity of evidence on some conditions, articles with weaker levels o...

Onychomycosis constitutes the most common fungal infection of the nail (skin beneath the nail bed) that affects the finger as well as toe nails. It is an infection that is initiated by yeasts, dermatophytes, and nondermatophyte molds. Nail lacquers are topical solutions intended only for use on fingernails as well as toenails and have been found to be useful in the treatment of onychomycosis. T...

Brittle nail syndrome is a heterogeneous abnormality, characterized by increased fragility of the nail plate. Brittle nails affect about 20% of the population and women are affected twice as frequently as men. The vast majority of patients experience brittle nails as a significant cosmetic problem and a substantial number indicate that these nail abnormalities are painful, impair daily activiti...

Nail psoriasis affects nearly 80% of patients with plaque psoriasis and is even more prevalent in patients with psoriatic arthritis. Nail psoriasis is not simply a cosmetic problem but one that effects the structure and function of the nail, resulting in negative psychological effects. The first level in management of nail psoriasis is patient education. The hierarchy of nail psoriasis therapy ...

methotrexate, psoralen–UV-A) or whose disease failed to respond to such treatments. Nail psoriasis is seen in 50% of patients with psoriasis and in about 80% of patients with psoriatic arthritis. The management of nail psoriasis can be very challenging. The choice of treatment depends on the clinical presentation andspecificpatient factors. Systemic treatment is indicated when nail psoriasis is...

A technique for the secure fixation of acrylic nails in multilayered silicone finger prostheses is described. The secure fixation of the nail to the prosthesis is achieved by a method of "sandwiching" portions of the nail between the silicone layers of the prosthesis akin to the overlapping of the nail by the anatomical nail fold and nail wall. In addition the use of a cynoacrylate adhesive ens...

BACKGROUND The radius of curvature (ROC) misfit of cephalomedullary nails during anterograde nailing can lead to complications such as distal anterior cortical encroachment. This study quantified the anatomical fit of a new nail with 1.0-m ROC (TFN-ADVANCED(™) Proximal Femoral Nailing System [TFNA]) compared with a nail with 1.5-m ROC (Gamma3 Long Nail R1.5 [Gamma3]). METHODS We generated 63 ...

Nail disorders are very common, and about 50% of all nail conditions are of fungal etiology. A proper diagnosis is essential because many nail conditions look alike. Diagnosis and treatment of other nail disorders, such as psoriasis, lichen planus, and neoplasms, are discussed.

Background: Nail biting (NB) is a common, but unresolved, problem in psychiatry, psychology, medicine and dentistry. It is the habit of biting one’s nails, is commonly observed in both children and young adults Materials & Methods: The study was a comparative cross‐ sectional microbiological study, conducted on the saliva samples of 40 chronic nail biting subjects in that 20 were males and 20 w...

PURPOSE OF STUDY To measure the pH of the surface of healthy nail plates. PROCEDURES The surface pH of human fingernails and big toenails was measured in vivo using a skin pH meter. The influence of washing, anatomical site (fingers/toes), side (left/right), digit (digits 1-5) and gender was determined. The pH of the nail interior was also measured. RESULTS The pH of the nail plate surface ...