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Dermatoskopie der Nägel

Dermoscopy of nails

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Zusammenfassung

Pigmentierte und nicht pigmentierte Nagelveränderungen stellen den Kliniker oftmals vor eine Herausforderung, da zahlreiche und z. T. potenziell lebensbedrohliche Differenzialdiagnosen in Betracht kommen. Obwohl viele Details einer Nagelerkrankung bereits mit dem bloßen Auge beurteilt werden können, eröffnet die Dermatoskopie eine zweite, mikroskopische Betrachtungsebene, die für den diagnostischen Prozess sehr hilfreich sein kann. Die Dermatoskopie konnte in den letzten 20 Jahren rasante Fortschritte in der Weiterentwicklung von Kriterien zur Melanomfrüherkennung verzeichnen. Daneben wurde die Anwendung der Dermatoskopie jedoch auch auf die Untersuchung der kutanen Adnexe wie Haare (Trichoskopie) und Nägel (Onychoskopie) erweitert. Zahlreiche und z. T. hochspezifische Kriterien für die dermatoskopische Beurteilung von Nagelerkrankungen konnten in einer Reihe kürzlich erschienener Publikationen beschrieben werden. Die folgende Übersichtsarbeit liefert wichtige diagnostische Hilfen für eine fundierte dermatoskopische Beurteilung von Nagelerkrankungen.

Abstract

Pigmented and nonpigmented nail abnormalities often represent a challenge for clinicians because many, and sometimes potentially life-threatening differential diagnoses must be taken into consideration. Although many details of nail diseases can already be assessed with the naked eye, dermoscopy opens up a second microscopic level of inspection, which can be very useful for the diagnostic process. In the last 20 years dermoscopy has made rapid progress in the further development of criteria for the early recognition of melanoma. In addition, the use of dermoscopy has been extended to the examination of cutaneous adnexa, such as hairs (trichoscopy) and nails (onychoscopy). Many, sometimes highly specific criteria for the dermoscopic assessment of nail diseases have been described in a series of recently published articles. This review article provides important diagnostic aids for a well-founded dermoscopic assessment of nail diseases.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. H.A. Haenssle, F. Brehmer, I. Zalaudek, R. Hofmann-Wellenhof, J. Kreusch, W. Stolz, G. Argenziano und A. Blum geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben. Im Falle von nicht mündigen Patienten liegt die Einwilligung eines Erziehungsberechtigen oder des gesetzlich bestellten Betreuers vor.

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Authors and Affiliations

  1. Klinik für Dermatologie, Venerologie und Allergologie, Universitätsmedizin Göttingen, Georg-August Universität, Robert-Koch Str. 40, 37075, Göttingen, Deutschland

    H.A. Haenssle & F. Brehmer

  2. Klinik für Dermatologie und Venerologie, Medizinische Universität Graz, Graz, Österreich

    I. Zalaudek & R. Hofmann-Wellenhof

  3. Hautarztpraxis Lübeck, Lübeck, Deutschland

    J. Kreusch

  4. Klinik für Dermatologie, Allergologie, Umweltmedizin, Klinikum Schwabing, München, Deutschland

    W. Stolz

  5. Abteilung Dermatologie, Arcispedale Santa Maria Nuova (IRCCS), Reggio Emilia, Italien

    I. Zalaudek & G. Argenziano

  6. Hautarztpraxis Konstanz und Lehrpraxis der Medizinischen Fakultät der Universität Tübingen, Konstanz, Deutschland

    A. Blum

Authors
  1. H.A. Haenssle
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  2. F. Brehmer
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  3. I. Zalaudek
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  4. R. Hofmann-Wellenhof
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  5. J. Kreusch
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  6. W. Stolz
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  7. G. Argenziano
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  8. A. Blum
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Corresponding author

Correspondence to H.A. Haenssle.

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___Hinweis_____

*Die Verwaltung der Bildrechte liegt bei der Fa. SurPrise e.K., Postfach 111107, 23521 Lübeck.

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Haenssle, H., Brehmer, F., Zalaudek, I. et al. Dermatoskopie der Nägel. Hautarzt 65, 301–311 (2014). https://doi.org/10.1007/s00105-013-2707-x

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  • DOI: https://doi.org/10.1007/s00105-013-2707-x

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