Abstract
The nail plate is the permanent product of the nail unit. Consequently, any aggression of any structure of the nail apparatus will be transmitted as alterations to the nail plate and/or surrounding tissues. In occupational contact dermatitis, common sensitizers, plants or flowers, produce nail modifications. Cosmetic sensitizers are a special type of allergen in the nail region.
Chemical irritants and cumulative primary irritants are explained, and one may wonder if allergic contact dermatitis and irritant contact dermatitis may be closely related and even the same disease. The problem of atopy is raised as a single condition and in association with other varieties of dermatitis. Finally, the treatment is focused on prevention.
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References
Baran R. Nail surgery. In: Goldsmith LA, Katz SI, Gelderest BA, Puller AS, Leffell DJ, Wollf K, editors. Fitzpatrick’s dermatology in general medicine. New York: McGraw Hill; 2012.
Morgan AM, Baran R, Haneke E. Anatomy of the nail unit in relation to the distal digit. In: Krull E, Zook E, Baran R, Haneke E, editors. Nail surgery – a text and atlas. Philadelphia: Lippincott William & Wilkins; 2001.
McGonagle D. Enthesitis: an autoinflammatory lesion linking nail and joint involvement in psoriatic disease. J Eur Acad Dermatol Venereol. 2009;23 suppl 1:9–13.
Halioua B, Richard MA. Mise au point sur l’eczéma chronique des mains. Ann Dermatol Venereol. 2010;173:315–27.
Nishijima S, Namura S, Higashi T, Kawai S. Staphylococcus aureus in the anterior pares and subungual spaces of the hands in atopic eczema. J Int Med Res. 1997;25:155–8.
Baran R, Rycroft RJG. Occupational abnormalities and contact dermatitis. In: Baran R, De Berker DAR, Holzberg M, Thomas L, editors. Diseases of the nails and their management. 4th ed. Oxford: Wiley-Blackwell; 2012.
Schoon D, Baran R. Cosmetics: the care and adornment of the nail. In: Baran R, De Berker DAR, Holzberg M, Thomas L, editors. Diseases of the nails and their management. 4th ed. Oxford: Wiley-Blackwell; 2012.
Hemmer W, Focke M, Wantke F, Götz M, Jarisch R. Allergic contact dermatitis to artificial finger nails prepared from UV light-cured acrylates. J Am Acad Dermatol. 1996;35:377–80.
Baran RL, Schibli H. Permanent paresthesia to sculptured nails. A distressing problem. Dermatol Clin. 1990;8:139–41.
Condé-Salazar L, Guimaraens D, Romero LV. Occupational allergic dermatitis from anaerobic acrylic sealants. Contact Dermatitis. 1986;18:129–32.
Freeman S, Lee MS, Gudmundsen K. Adverse contact reactions to sculptured acrylic nails: four case reports and literature review. Contact Dermatitis. 1995;33:381–5.
Cruz MJ, Baudrier T, Curha AP, Ferreira O, Azevedo F. Severe onychodystrophy caused by allergic contact dermatitis to acrylates in artificial nails. Cutan Ocul Toxicol. 2011;30:323–4.
Guin JD, Bass K, Nelson-Adesokan P. Contact sensitization to cyanoacrylate adhesive as a cause of severe onychodystrophy. Int J Dermatol. 1998;37:31–6.
Lazarov A. Sensitization to acrylates in a common adverse reaction to artificial nails. J Eur Acad Dermatol Venereol. 2007;21:169–74.
Rycroft RJG, Wilkinson JD, Holmes R, Hay RJ. Contact sensitization to p-tertiary butylphenol (PTBP) resin in plastic nail adhesive. Clin Exp Dermatol. 1980;5:441–5.
Calnan CD. Cement dermatitis. J Occup Med. 1960;2:15–22.
Romaguera C, Grimalt F. Dermatitis de contacto professional por codeina. Bol Inform GEIDC. 1983;5:21–3.
Militello G. Contact and primary irritant dermatitis of the nail unit: diagnosis and treatment. Dermatol Therap. 2007;20:47–53.
Baran R. Acute onycholysis from rust-removing agents. Arch Dermatol. 1980;116:382–3.
Botella R, Sastre A, Castello A. Contact dermatitis to paraquat. Contact Dermatitis. 1985;13:123–4.
Baran R. Nail damage caused by weed killers and insecticides. Arch Dermatol. 1974;10:46–7.
Wahlberg JE. Yellow nail staining of hair and nails and contact sensitivity to dinobuton. Contact Dermatitis Newsl. 1974;16:481.
Sebastian G. General practice-relevant therapeutic recommendations in hydrofluoric acid burns. Hautarzt. 1994;45:453–9.
Cronin E. Contact dermatitis. Edinburgh: Churchill-Livingston; 1980. p. 586.
Samman PD, Fenton DA. Nail disorders associated with other dermatological conditions. In: Samman PD, Fenton DA, editors. Samman’s the nails in disease. 5th ed. Oxford: Butterworth–Heinemann; 1995. p. 72–6.
Shelley WB. Onycholysis due to topical 5 fluorouracil. Acta Derm Venereol. 1972;52:320.
Dawber R. Occupational koilonychia. Clin Exp Dermatol. 1977;2:115–6.
Simpson EL, Thompson MM, Hanifin JM. Prevalence and morphology of hand eczema in patients with atopic dermatitis. Contact Dermatitis. 2006;17:153–7.
Lee DY, Kim WS, Lee KJ, Kim JA, Park JH, Cho HJ, et al. Tacrolimus ointment in onychodystrophy associated with eczema. J Eur Acad Dermatol Venereol. 2007;21:1137–8.
Requena L, Zamora E, Martin L. Acropathy secondary to long standing applications of topical steroids. Arch Dermatol. 1990;126:1013–4.
Boiko S, Kaufman RA, Lucky AW. Osteomyelitis of the distal phalanx in 3 children with severe atopic dermatitis. Arch Dermatol. 1988;124:418–23.
Haglmüller T, Hemmer W, Kusa I, et al. Loss of fingernails due to persistent allergic contact dermatitis in an artificial nail designer. J Allergy Clin Immun. 1995;95:250.
Anan IS, Harris P. Koilonychia in Ladakhis. Br J Dermatol. 1988;119:267–8.
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Baran, R. (2014). Nail Alterations in Hand Eczema. In: Alikhan, A., Lachapelle, JM., Maibach, H. (eds) Textbook of Hand Eczema. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-39546-8_4
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