Abstract
Pressure is the main factor inducing damage to the nail and its bed. Underestimated, insidious and repeated trauma facilitates deformities of the nail, and infection by bacteria or fungi (Onychomycosis). Skin compensates for pressure by a thickening of its superficial layers. The nail bed can do so only to a limited extent, as each thickening of the nail (Onychogryphosis) increases the pressure exerted within a shoe or facilitates levering. As a consequence, the nail bed is less able to react and protect itself than the surrounding tissue and therefore might provide an early sign of excessive pressure and indicate the need for introduction of protective measures.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Waldeck M. Unguis incarnatus: Die Emmert-Plastik und ihre Alternativen. ChirurgenMagazin. 2012;10(4):42–6.
Scholz N. Konservative Behandlung eingewachsener Zehennägel mit Nagel-Korrekturspangen. Dtsch Arztebl. 2000;97(22):A1532.
Papini M, Cicoletti M, Fabrizi V, Landucci P. Skin and nail mycoses in patients with diabetic foot. G Ital Dermatol Venereol. 2013;148(6):603–8.
Borgers M, Degreef H, Cauwenbergh G. Fungal infections of the skin: infection process and antimycotic therapy. Curr Drug Targets. 2005;6(8):849–62.
Tietz HJ. Nagelpilz ist heilbar. Der Hausarzt. 2012;(16).
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Hochlenert, D., Engels, G., Morbach, S., Schliwa, S., Game, F.L. (2018). Nail Bed Lesions (6). In: Diabetic Foot Syndrome. Springer, Cham. https://doi.org/10.1007/978-3-319-92055-9_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-92055-9_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-92054-2
Online ISBN: 978-3-319-92055-9
eBook Packages: MedicineMedicine (R0)