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Retronychia—an uncommon cause of chronic proximal nail fold inflammation

Retronychie – eine seltene Ursache der chronischen proximalen Nagelfalzentzündung

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An Erratum to this article was published on 13 April 2022

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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.

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Change history

References

  1. De Berker DA, Renal J. Retronychia-proximal ingrowing nail. J Eur Acad Dermatol Venerol. 1999;12:S126.

    Article  Google Scholar 

  2. 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.

    Article  PubMed  Google Scholar 

  3. De Berker DA, Richert B, Duhard E, et al. Retronychia: proximal ingrowing of the nail plate. J Am Acad Dermatol. 2008;58:978–83.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  PubMed  Google Scholar 

  5. 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.

    Article  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

  7. Wortsman X, Wortsman J, Guerrero R, et al. Anatomical changes in retronychia and onychomadesis detected using ultrasound. Dermatol Surg. 2010;36:1615–20.

    Article  CAS  PubMed  Google Scholar 

  8. Chiheb S, Richert B, Belyamani S, et al. Une nouvelle cause de perionyxis chronique : la retronychie. Ann Dermatol Venereol. 2010;137:645–7.

    Article  CAS  PubMed  Google Scholar 

  9. Mello CDBF, Souza MDRE, Noriega LF, et al. Retronychia. Anais Brasil Dermatol. 2018;93:707–11.

    Article  Google Scholar 

  10. Saul D, Roch J, Lehmann W, et al. Leitungsanästhesie nach Oberst. Oper Orthop Traumatol. 2020;32:18–22.

    Article  PubMed  Google Scholar 

  11. Cabete J, Lencastre A. Recognizing and treating retronychia. Int J Dermatol. 2015;54:e51–e2.

    Article  PubMed  Google Scholar 

  12. Ventura F, Correia O, Duarte AF, et al. Retronychia—clinical and pathophysiological aspects. J Eur Acad Dermatol Venereol. 2016;30:16–9.

    Article  CAS  PubMed  Google Scholar 

  13. Wortsman X, Calderon P, Baran R. Finger retronychias detected early by 3D ultrasound examination. J Eur Acad Dermatol Venereol. 2012;26:254–6.

    Article  CAS  PubMed  Google Scholar 

  14. Fernández J, Reyes-Baraona F, Wortsman X. Ultrasonographic criteria for diagnosing unilateral and bilateral retronychia. J Ultrasound Med. 2018;37:1201–9.

    Article  PubMed  Google Scholar 

  15. Reigneau M, Pouaha J, Truchetet F. Retronychia: four new cases. Eur J Dermatol. 2013;23:882–4.

    Article  PubMed  Google Scholar 

  16. Dahdah MJ, Kibbi AG, Ghosn S. Retronychia: report of two cases. J Am Acad Dermatol. 2008;58:1051–3.

    Article  PubMed  Google Scholar 

  17. Fouilloux B. Rétronychies : Pathologie unguéale. Presse Med. 2014;43:1223–9.

    Article  PubMed  Google Scholar 

  18. Zaraa I, Kort R, Mokni M, et al. Retronychia: a rare cause of chronic paronychia. Dermatol Online J. 2012;18:9.

    PubMed  Google Scholar 

  19. Laird ME, Lo Sicco KI, Rich P. Conservative treatment of retronychia: a retrospective study of 25 patients. Dermatol Surg. 2019;45:614–6.

    Article  CAS  PubMed  Google Scholar 

  20. Duhard É. Les paronychies. Presse Med. 2014;43:1216–22.

    Article  PubMed  Google Scholar 

  21. 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.

    Article  PubMed  Google Scholar 

  22. Wollina U, Nenoff P, Haroske G, et al. The diagnosis and treatment of nail disorders. Dtsch Ärztebl Int. 2016;113:509–18.

    PubMed  PubMed Central  Google Scholar 

  23. 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.

    Article  PubMed  Google Scholar 

  24. Lencastre A, Iorizzo M, Caucanas M, et al. Topical steroids for the treatment of retronychia. J Eur Acad Dermatol Venereol. 2019;33:e320–e2.

    Article  CAS  PubMed  Google Scholar 

  25. 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.

    Chapter  Google Scholar 

  26. Baumgartner M, Haneke E. Retronychia: diagnosis and treatment. Dermatol Surg. 2010;36:1610–4.

    Article  CAS  PubMed  Google Scholar 

  27. 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.

    Article  PubMed  Google Scholar 

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Correspondence to Uwe Wollina MD.

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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

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