Nail Disease for the Primary Care Provider

Biesbroeck, Lauren K.; Fleckman, Philip

doi:10.1016/j.mcna.2015.07.010

Cited by 9 publications

(8 citation statements)

References 49 publications

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“…Clinical evaluation can be challenging, and these disorders span a broad variety of diagnoses, which include infectious, inflammatory, and neoplastic causes. However, a firm familiarity with several common diagnoses and their appropriate evaluation can improve care of the patient with nail changes [1].…”

Section: Introductionmentioning

confidence: 99%

“…Laboratory confirmation of a clinical diagnosis with identification of the causal organism should be obtained before starting treatment as the efficacy of oral and topical therapies can be species dependent [2-4]. Several methods can be used to confirm the diagnosis: direct microscopy using potassium hydroxide, periodic acid-Schiff staining of nail clippings, fungal culture, and molecular diagnostic methods such as PCR have recently been developed [1]. Diagnosing onychomycosis using more than 1 technique is a common practice among current onychomycosis studies.…”

Section: Introductionmentioning

confidence: 99%

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Nail Disease: Clinical Decisions among Portuguese Dermatologists and Family Physicians

Monteiro

Pinheiro

Galhardas

et al. 2020

Skin Appendage Disord

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Onychomycosis is one of the most common nail disorders and may be difficult to distinguish from other causes of nail dystrophy, based on clinical grounds alone. With this study, we aimed to describe the use of fungal testing by dermatologists and family physicians in their daily current practice, analyze their respective familiarity with nail disease diagnosis, and ultimately treatment decision-making by both groups. An online survey was distributed among Portuguese dermatologists, trainees, and family physicians by email. The survey focused on the diagnostic impression, use of diagnostic methods to confirm a fungal infection, and the subsequent assessment of treatment. One hundred fifty-one responses were obtained, 60 (39.7%) from dermatologists and 91 (60.3%) from family physicians; 98.3% of dermatologists mentioned usually requesting a fungal testing at their local institution or outside, while this percentage was 50.5% among family physicians (<i>p</i> < 0.001). Regarding the diagnosis, the median of correct diagnosis by the dermatologist group was higher (10/15) than the family physicians (6/15). Considering the treatment strategy, we observed that in the dermatologists’ group it would result in unnecessary treatment in a median of 2 cases, while in the family physicians’ group, in a median of 4 cases.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Nail Disease: Clinical Decisions among Portuguese Dermatologists and Family Physicians

Monteiro

Pinheiro

Galhardas

et al. 2020

Skin Appendage Disord

View full text Add to dashboard Cite

show abstract

“…Possiblement associée à un microtraumatisme de la matrice unguéale, l'affection est souvent symétrique et touche le plus souvent les pouces [1][2][3] . L'onychotillomanie, les tumeurs des ongles, le kyste mucoïde du doigt et la trachyonychie (ongles rugueux) sont d'autres diagnostics courants se manifestant par des défauts longitudinaux de l'ongle [4][5][6] . La recherche des antécédents détaillés devrait se concentrer sur les accidents de travail et les habitudes.…”

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“…La recherche des antécédents détaillés devrait se concentrer sur les accidents de travail et les habitudes. Parmi les autres affections à envisager, mentionnons l'onychomycose, le lichen plan, la maladie de Darier et le psoriasis [3][4][5] . Pour écarter le diagnostic d'onychomycose, il est suggéré d'utiliser une préparation d'hydroxyde de potassium, une technique de fluorescence ou une culture fongique.…”

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