Nail changes in alopecia areata: frequency and clinical presentation

Author(s):  
E Kasumagic-Halilovic ◽  
A Prohic
2021 ◽  
pp. 1-10
Author(s):  
Bipasha Roy ◽  
Shari R. Lipner

Acrokeratosis paraneoplastica (Bazex syndrome) is a rare paraneoplastic dermatosis associated with internal malignancies. Clinical presentation is characterized by erythematous or violaceous scaly plaques involving the digits, nose, ears, palms, and soles. Nail changes commonly present concurrently with cutaneous manifestations. In this review, we characterize nail changes associated with acrokeratosis paraneoplastica. A total of 48 cases were analyzed. Nail findings were nonspecific, with the most common being nail plate thickening, onycholysis, subungual hyperkeratosis, longitudinal ridging, discoloration, and nail plate loss. In most patients, nail changes involved the majority of fingernails and toenails and most often appeared prior to the diagnosis of malignancy. The most common associated underlying malignancies were squamous cell carcinomas of the head and neck. A diagnosis of acrokeratosis paraneoplastica should be considered in patients with onychodystrophy involving multiple nails with accompanying atypical psoriasiform dermatoses. Screening for internal malignancies may significantly decrease morbidity and mortality for these patients.


Author(s):  
Vinod Kumar Sharma ◽  
Goutam Dawn ◽  
S. Muralidhar ◽  
Bhushan Kumar

2018 ◽  
Vol 57 (7) ◽  
pp. 776-783 ◽  
Author(s):  
Khatiya Chelidze ◽  
Shari R. Lipner
Keyword(s):  

Author(s):  
C.Á. de Almeida ◽  
S. Guarçoni ◽  
A. Leverone ◽  
R. Nakamura ◽  
C. Canella
Keyword(s):  

Author(s):  
Nikhil N. ◽  
Mamatha P. ◽  
Hanumanthayya K.

<p class="abstract"><strong>Background:</strong> Alopecia areata (AA) is a common chronic inflammatory disease causing unpredictable non scarring form of hair loss. Dermoscopy is a clear cut as well as valuable method done in a noninvasive manner to study the signs of alopecia areata. Aim was to elucidate the various clinical characteristics and dermoscopic findings of alopecia areata.</p><p class="abstract"><strong>Methods:</strong> A total of 150 patients were examined using a dermlite dermoscope at dermatovenereology OPD of Vydehi Hospital. Detailed history, clinical features, associated changes, severity and dermoscopic findings were noted.</p><p class="abstract"><strong>Results: </strong>In our study males (54.7%) were more than females (45.35%) with the ratio of 1.2:1. Mean age of the patients was 25 years. Mean duration of the disease was around 6 months. The most common type noted in our study was patchy alopecia (76%) and most common affected site was scalp (frontal and parietal region) (49.35%). 28% of the people have itching, otherwise it is mostly asymptomatic. Stress was a triggering factor in 24.70% patients. Nail changes in the form of pitting seen in 20.7% patients. The various dermoscopic findings observed in our study are yellow dots (80%), short vellus hair (74.7%), exclamation hair (34%), black dots (28%), broken hair (25.3%).</p><p class="abstract"><strong>Conclusions:</strong> Short vellus hair and yellow dots are seen in most cases of our study. They vary according to the activity of the disease and treatment. Yellow dots, black dots and tapering hair indicate active disease, while short vellus hairs indicate remission.</p><p> </p>


Sign in / Sign up

Export Citation Format

Share Document