By Antonella Tosti, Robert Baran, Ivan Bristow, Rodney P. R. Dawber, Ekart Haneke
Like its predecessors, Text Atlas of Nail issues, 3rd edition is destined to develop into a useful diagnostic software. The authors comprehensively hide pathologies affecting the toe and finger nails. They profile each one pathology, from universal to infrequent problems, and help them with large colour photos. This most modern version includes new fabric on podiatry and research recommendations together with histopathology, ultrasonography and MRI, and dermatoscopy making this a useful prognosis reduction for dermatologists and podiatrists.
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Extra resources for A Text Atlas of Nail Disorders: Techniques in Investigation and Diagnosis
52 Bifid thumb. 51 Bifid toe. Duplication of the thumb is a sign of congenital polydactyly, one of the most common anomalies of the hand. 51). Seven types of thumb polydactyly can be distinguished according to the level of bone bifurcation. 53). Symphalangism is commonly observed. Thumb polydactyly may be sporadic, usually transmitted as an autosomal dominant trait with variable expressivity. A similar clinical picture can be seen in the great toe with bifurcation of the terminal phalanx and duplication of the nail.
3 Underlying disease, such as subungual exostosis of the toes and inflammatory osteoarthritis, should always be looked for, especially if the fingers are involved. 4 Some dermatological disorders, especially psoriasis, may also cause transverse overcurvature of the nails. 5 Localized overcurvature is observed in onychomatricoma. Tile-shaped nail The tile-shaped nail presents with an increase in the transverse curvature; the lateral edges of the nail remain parallel. 23). Although these deformities may be associated with ingrowing nails, inflammatory oedema due to the constriction of the enclosed soft tissues is unusual.
In aplastic anonychia, a rare congenital disorder occasionally associated with other defects such as ectrodactyly, the nail never forms. Loose, horny masses are produced by the metaplastic squamous epithelium of the matrix and the nail bed in anonychia keratodes. Hypoplasia of the nail plates is a hallmark of the nail-patella syndrome; in the least affected cases only the ulnar half of each thumb nail is missing. 70) Onychatrophy presents as a reduction in size and thickness of the nail plate, often accompanied by fragmentation and splitting, for example in lichen planus.
A Text Atlas of Nail Disorders: Techniques in Investigation and Diagnosis by Antonella Tosti, Robert Baran, Ivan Bristow, Rodney P. R. Dawber, Ekart Haneke