Common Nail Conditions Flashcards
What is Onychocryptosis
Ingrowing nail, when nail edge enters the dermal layer of the skin
What are symptoms of Onychocryptosis?
red, shiny, painful, can be inflamed, pus under the sulus epidermis or the nail plate
How is Onychocryptosis caused?
Cutting nails too short, cutting nails at an angle, picking or tearing bits off the nail, Hyperhidrosis, ill-fitting shoes
What is Hyperhidrosis?
Excessive sweating
What happens in Onychocryptosis ?
as the nail grows into the tissue it stops normal healing causing Hypergranulation ( excessive tissue) which overlaps the nail plate
What are the stages of Onychocryptosis?
1- minimal injury to the sulcus ( where the nail meets the skin), slight swelling, discomfort, redness
2- Painful, excessive sweating , offensive odour, granulation tissue with pus
3- Epidermal overgrowth/ granulation tissue
What is the treatment for Onychocryptosis?
Removal of the nail spicule (spike) with nail nippers, edge of nail is filed down, apply sterile dressing. Alternatively full removal of partial nail or full using local anaesthetic
What does nail avulsion mean?
Nail removal
What is Onycholysis?
When the nail plate becomes detatched from the nail bed.
What does Onycholysis look like ?
White due to air getting under the nail plate, can be yellow/brown if onychomycosis present
What are the symptoms of Onycholysis?
No symptoms, not usually any pain, but debris can build up between nail plate and bed and cause discomfort and or infection
What causes Onycholysis?
Onychomycosis, trauma, psoriasis
How is Onycholysis treated?
Remove detached part of the nail to stop it catching or pulling, treat any jungle infection - refer to GP if systemic treatment needed
What is the prognosis of Onycholysis?
Good 3-6 months for nail plate to recover
What is Subungual
Haematoma?
Collection of blood beneath the nail plate caused by trauma, initially red then goes blue/black
What are the symptoms of Subungual Haematoma?
Swelling around the site which was injured pain due to the build up of blood under the plate
What causes Subungual Haematoma?
Trauma, systemic diseases eg haemophilia