Abstract
The nail apparatus can be involved in several inflammatory skin disorders. Nail abnormalities may be associated with skin changes or isolated. The latter event gives rise to difficulties in diagnosis and choice of therapy. A careful clinical history is mandatory for correct identification of the disease, together with examination of skin and mucous membranes. Dermoscopy and mycology may be necessary for differential diagnosis. Nail biopsy is mandatory in doubtful cases but should be performed in the right area. The most common inflammatory skin disease that may involve the nail is psoriasis, but lichen planus and other less common disorders, such as bullous diseases, may affect the nail epithelia. All these diseases have a chronic course that requires prolonged treatment and often relapse. When the nails are the sole site of involvement, the choice of therapy is very difficult, as it is difficult to use potent drugs for isolated nail disease. Nonetheless, patients are very distressed by these conditions, and this fact should also be considered. Management of these diseases is therefore difficult and requires periodic follow-up.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
McGonagle D (2009) Enthesitis: an autoinflammatory lesion linking nail and joint involvement in psoriatic disease. J Eur Acad Dermatol Venereol 23(Suppl 1):9–13
Piraccini BM, Bruni F, Starace M (2012) Dermoscopy of non-skin cancer nail disorders. Dermatol Ther 25:594–602
Sánchez-Regaña M, Sola-Ortigosa J, Alsina-Gibert M, Vidal-Fernández M, Umbert-Millet P (2011) Nail psoriasis: a retrospective study on the effectiveness of systemic treatments (classical and biological therapy). J Eur Acad Dermatol Venereol 25:579–586
Piraccini BM, Saccani E, Starace M, Balestri R, Tosti A (2010) Nail lichen planus: response to treatment and long term follow-up. Eur J Dermatol 20:489–496
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Italia
About this chapter
Cite this chapter
Piraccini, B.M. (2014). Nail Disorders Due to Dermatological Diseases. In: Nail Disorders. Springer, Milano. https://doi.org/10.1007/978-88-470-5304-5_7
Download citation
DOI: https://doi.org/10.1007/978-88-470-5304-5_7
Published:
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-5303-8
Online ISBN: 978-88-470-5304-5
eBook Packages: MedicineMedicine (R0)