Risk Factors and Frequency of Ingrown Nails in Adult Diabetic Patients

Vural, Seçil; Bostancı, Seher; Koçyiğit, Pelin; Çalışkan, Deniz; Başkal, Nilgün; Aydın, Nursel

doi:10.1053/j.jfas.2017.10.006

Cited by 22 publications

(21 citation statements)

References 37 publications

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“…Alavi et al and Vural et al [19,20] studied nail changes as in our study, finding similar data on onychodystrophy (13% in our study vs. 11% in the study by Vural et al [19]). On the other hand, we found a higher prevalence of onychogyphosis in our study (12.9% vs. 4% in the study by Vural et al 19).…”

Section: Discussionsupporting

confidence: 91%

“…On the other hand, we found a higher prevalence of onychogyphosis in our study (12.9% vs. 4% in the study by Vural et al 19). The results obtained in relation to onycholysis (2.9%) were lower than those found in the literature [19,20].…”

Section: Discussioncontrasting

confidence: 80%

“…Taking into account that among the risk factors for diabetes are age [15] and obesity [16,17], our sample has a high age (62.9 ± 7.9 years) with a minimum age of around 40 years compared with other studies found in the literature [18,19], likewise, we are struck by the high obesity present in our study, a fact that is higher than the literature consulted [19].…”

Section: Discussionmentioning

confidence: 76%

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Structural, Dermal and Ungual Characteristics of the Foot in Patients with Type II Diabetes

et al. 2019

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Background and Objectives: Diabetes is a chronic and metabolic disease, considered as an important public health problem. The objective of this study was to determine the prevalence of podiatric pathology in type II diabetic patients. Materials and Methods: An observational descriptive study of prevalence in the endocrinology service of Complexo Hospitalario Universitario A Coruña (CHUAC) (A Coruña-Spain) was carried out (n = 153). Type II diabetic patients included, of legal age who signed the informed consent. Sociodemographic variables were studied (age, sex, body mass index (BMI), smoking habit, alcohol consumption, family history), disease variables (time of evolution of diabetes, treatments, low-density lipoprotein (LDL), high-density lipoprotein (HDL), glucose), podiatric variables: measurement of the footprint, metatarsal and digital formula, nail, skin, hindfoot and forefoot alterations. The data collection was done in 2018 and the data analysis was carried out in 2019. Results: The patients with type II diabetes had greater age, obesity and arterial hypertension it compared to the general population. Diabetic patients had a higher prevalence of flat feet than the general population (71.2% vs. 20.7%, p < 0.001), with a predominance of normal foot according to the podoscope. The predominant podological pathology was the presence of claw toes (94.8%), followed by dermal (78.4%) and nail (71.9%) alterations, and the Hallux Valgus (66.0%). The Clarke angle and the Chippaux index showed a Kappa concordance index of 0.26 with the type of footprint measured with the podoscope. The Staheli index showed a Kappa index of 0.27 associated with an observed agreement of 54%. Conclusions: This study shows that foot problems continue to be prevalent in subjects with type II diabetes mellitus and for this reason, podiatry is essential in its treatment.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 80%

Section: Discussionmentioning

confidence: 76%

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Structural, Dermal and Ungual Characteristics of the Foot in Patients with Type II Diabetes

et al. 2019

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“…Among these, phenol is the most common agent used in most clinics. It is an effective protein denaturant which shows its cauterizing effect by producing a coagulation necrosis in the matrix and the surrounding soft tissue [8,10]. It has been widely studied and is reported to be more effective at preventing symptomatic recurrences (recurrence rates ranging from 1% to 9.6%) as compared to nail avulsion alone (42-83%) [1,11].…”

Section: Discussionmentioning

confidence: 99%

Controlled trial comparing the efficacy of 88% phenol versus 100% trichloracetic acid for chemical matricectomy in the management of ingrown toenail

Moustaide¹

2019

Our Dermatol Online

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Background: The ingrown toenail results from a painful conflict between the nail plate and the adjacent soft parts. Material and methods: We conducted a prospective, comparative trial of the long-term efficacy of two methods: phenolization (88%) and matricolysis by trichloroacetic acid (TCA) (100%). Adult, consenting patients with ingrown toenails were alternately allocated into two treatment, to receive either 88% phenol or 100% TCA chemical matricectomy. The patients as well as the statistician were blinded to the agent being used. Post-procedure follow-up evaluated median duration of pain, discharge, and healing along with recurrence, if any, in both the groups. The group wise data was statistically analyzed. Results: On comparing the two groups, pain lasted 9.34 days in the TCA group and 18.62 days in the phenol group, this difference was not statistically significant (P = 0.202). The tissue condition took 9.30 days to normalize in the the TCA group, while it took 17.63 days to normalize in the phenol group. This difference was found to be statistically significant (P < 0.007). The aesthetic result and the cost of the care were similar in the 2 groups. Conclusion: Chemical matricectomy using TCA is as efficacious as phenolisation, with the advantage of faster tissue normalization.

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“…Onychocryptosis, or ingrown nail, occurs when the nail plate edge penetrates the periungual dermis. Ingrown nails are quite common, affecting 2.5-5% of the general population [1]. However, true prevalence is likely much higher, as many patients do not seek medical care for mild symptoms.…”

Section: Introductionmentioning

confidence: 99%

Patient Satisfaction with Treatment for Onychocryptosis: A Systematic Review

Stewart

Algu

Kamran

et al. 2020

Skin Appendage Disord

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Onychocryptosis, or ingrown nail, is a common condition in which the nail plate penetrates the nail fold, often resulting in inflammation and pain. Nonsurgical and surgical treatments are utilized, but patient satisfaction with these therapies has not been well studied. The purpose of this study was to systematically review the available literature describing patient-reported outcomes of onychocryptosis treatments. We performed a search of the literature published prior to May 22, 2019. Articles were included in the review if primary data were presented, patient-reported outcome measures (PROMs) were used, and nail involvement was specifically examined. From the initial search, 18 studies were included in the final analysis. Patients receiving both nonsurgical and surgical interventions reported high levels of overall satisfaction; however, most studies used ad hoc measures rather than validated PROMs, providing little granular information on the impact of treatment on quality of life (QoL). This review affirms that treatment for onychocryptosis results in satisfactory outcomes for patients; however, increased efforts are needed to understand the impact of therapy on patient QoL as assessed by validated outcome measure that accurately assess patients' cosmetic, physical, and social difficulties.

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Risk Factors and Frequency of Ingrown Nails in Adult Diabetic Patients

Cited by 22 publications

References 37 publications

Structural, Dermal and Ungual Characteristics of the Foot in Patients with Type II Diabetes

Structural, Dermal and Ungual Characteristics of the Foot in Patients with Type II Diabetes

Controlled trial comparing the efficacy of 88% phenol versus 100% trichloracetic acid for chemical matricectomy in the management of ingrown toenail

Patient Satisfaction with Treatment for Onychocryptosis: A Systematic Review

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