Summary
Retronychia is defined as nail plate ingrowth into the proximal nail fold causing pain and perionyxis. We report on a case series of seven patients seen from 2001 to 2020 (mean age 20 years). Xanthonychia was observed in all nails. Total nail avulsion was performed in eight nails. Complete remission was obtained in 100%. During follow-up for up to 24 months, no relapse occurred.
Zusammenfassung
Die Retronychie wird als Einwachsen der Nagelplatte in den proximalen Nagelfalz definiert, was zu Schmerzen und Perionyxie führt. Wir berichten über eine Serie von 7 Patienten im Zeitraum von 2001–2020 (mittleres Alter der Patienten 20 Jahre). Eine Xanthonychie trat in allen Fällen auf. Die totale Nagelavulsion wurde bei 8 Nägeln vorgenommen. Eine Komplettremission wurde in allen operierten Fällen erzielt. Im Verlauf der Nachbeobachtung bis zu 24 Monaten kam es zu keinem Rückfall.
Change history
13 April 2022
An Erratum to this paper has been published: https://doi.org/10.1007/s10354-022-00930-5
References
De Berker DA, Renal J. Retronychia-proximal ingrowing nail. J Eur Acad Dermatol Venerol. 1999;12:S126.
Piraccini BM, Richert B, de Berker DA, et al. Retronychia in children, adolescents, and young adults: a case series. J Am Acad Dermatol. 2014;70:388–90.
De Berker DA, Richert B, Duhard E, et al. Retronychia: proximal ingrowing of the nail plate. J Am Acad Dermatol. 2008;58:978–83.
Gerard E, Prevezas C, Doutre MS, et al. Risk factors, clinical variants and therapeutic outcome of retronychia: a retrospective study of 18 patients. Eur J Dermatol. 2016;26:377–81.
Pizarro M, Pieressa N, Wortsman X. Posttraumatic retronychia of the foot with clinical and ultrasound correlation. J Am Podiatr Med Assoc. 2017;107:253–6.
Nagrani N, Castillo DE, Al-Mohanna H, et al. Occupational retronychia: a report of a case in a UPS employee. Skin Appendage Dis. 2019;5:169–71.
Wortsman X, Wortsman J, Guerrero R, et al. Anatomical changes in retronychia and onychomadesis detected using ultrasound. Dermatol Surg. 2010;36:1615–20.
Chiheb S, Richert B, Belyamani S, et al. Une nouvelle cause de perionyxis chronique : la retronychie. Ann Dermatol Venereol. 2010;137:645–7.
Mello CDBF, Souza MDRE, Noriega LF, et al. Retronychia. Anais Brasil Dermatol. 2018;93:707–11.
Saul D, Roch J, Lehmann W, et al. Leitungsanästhesie nach Oberst. Oper Orthop Traumatol. 2020;32:18–22.
Cabete J, Lencastre A. Recognizing and treating retronychia. Int J Dermatol. 2015;54:e51–e2.
Ventura F, Correia O, Duarte AF, et al. Retronychia—clinical and pathophysiological aspects. J Eur Acad Dermatol Venereol. 2016;30:16–9.
Wortsman X, Calderon P, Baran R. Finger retronychias detected early by 3D ultrasound examination. J Eur Acad Dermatol Venereol. 2012;26:254–6.
Fernández J, Reyes-Baraona F, Wortsman X. Ultrasonographic criteria for diagnosing unilateral and bilateral retronychia. J Ultrasound Med. 2018;37:1201–9.
Reigneau M, Pouaha J, Truchetet F. Retronychia: four new cases. Eur J Dermatol. 2013;23:882–4.
Dahdah MJ, Kibbi AG, Ghosn S. Retronychia: report of two cases. J Am Acad Dermatol. 2008;58:1051–3.
Fouilloux B. Rétronychies : Pathologie unguéale. Presse Med. 2014;43:1223–9.
Zaraa I, Kort R, Mokni M, et al. Retronychia: a rare cause of chronic paronychia. Dermatol Online J. 2012;18:9.
Laird ME, Lo Sicco KI, Rich P. Conservative treatment of retronychia: a retrospective study of 25 patients. Dermatol Surg. 2019;45:614–6.
Duhard É. Les paronychies. Presse Med. 2014;43:1216–22.
Wollina U. Bowen’s disease of the nail apparatus. A series of 8 patients and a literature review. Wien Med Wochenschr. 2015;165:401–5.
Wollina U, Nenoff P, Haroske G, et al. The diagnosis and treatment of nail disorders. Dtsch Ärztebl Int. 2016;113:509–18.
Wollina U, Tempel S, Hansel G. Subungual melanoma—a single center series from Dresden. Dermatol Ther. 2019;32:e13032. https://doi.org/10.1111/dth.13032.
Lencastre A, Iorizzo M, Caucanas M, et al. Topical steroids for the treatment of retronychia. J Eur Acad Dermatol Venereol. 2019;33:e320–e2.
Richert B. Surgery of the nail plate. In: Richert B, Di Chiacchio N, Haneke E, editors. Nail surgery. London: Informa Healthcare; 2011. pp. 31–41.
Baumgartner M, Haneke E. Retronychia: diagnosis and treatment. Dermatol Surg. 2010;36:1610–4.
Litaiem N, Drissi H, Zeglaoui F, et al. Retronychia of the toenails: a review with emphasis on pathogenesis, new diagnostic and management trends. Arch Dermatol Res. 2019;311:505–12.
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U. Wollina declares that he has no competing interests.
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Wollina, U. Retronychia—an uncommon cause of chronic proximal nail fold inflammation. Wien Med Wochenschr 171, 53–56 (2021). https://doi.org/10.1007/s10354-020-00781-y
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DOI: https://doi.org/10.1007/s10354-020-00781-y