The Clinical Picture: Sudden hair loss associated with trachyonychia

Vañó‐Galván, Sergio; Aboín, Sonsoles; Beà-Ardebol, Sonio; Sánchez-Mateos, J.L. Santiago

doi:10.3949/ccjm.75.8.567

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, it is now thought that the presence of trachyonychia in a patient with AA does not exclude the possibility that this nail disorder may be because of another disease, such as lichen planus or psoriasis, or be idiopathic . Trachyonychia may be mild or severe, but its clinical appearance does not help to distinguish between associated skin diseases . Furthermore, noninflammatory disorders, such as onychomycosis, may be present simultaneously .…”

Section: Clinical Featuresmentioning

confidence: 99%

Nail changes in alopecia areata: an update and review

Chelidze

Lipner

2018

Int J Dermatology

View full text Add to dashboard Cite

Nail changes are a common feature of alopecia areata (AA) and are a significant source of cosmetic disfigurement and functional impairment. This review provides an update of the prevalence, clinical and histopathological features, pathogenesis, differential diagnosis, clinical course, prognosis, and management of nail changes in patients with AA. Searches for peer-reviewed journal articles were conducted using the PubMed/MEDLINE database with the search terms "nail changes alopecia areata," "alopecia areata nails," and specific searches on "trachyonychia alopecia areata" and "pitting alopecia areata." Other sources of articles included the reference lists of retrieved articles. Nail changes are a common feature of AA, with an average prevalence of 30%, and can cause significant disfigurement and loss of function. Pitting and trachyonychia were by far the most common manifestations of AA, with an average prevalence of 20 and 8%, respectively. Red spotted lunulae, onycholysis, and punctate leukonychia were other reported findings. Other etiologies, such as onychomycosis or lichen planus, may coexist with or confound the diagnosis. There is limited published data on the clinical manifestations of AA-associated nail changes and therapeutic options. Larger controlled trials are necessary to guide treatment decisions.

show abstract

Section: Clinical Featuresmentioning

confidence: 99%