NAIL DYSTROPHY IN PSORIATIC ARTHRITIS PRESENTING AS NAIL ONYCHOMYCOSIS: A CASE REPORT

Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 139-142 ◽  
Author(s):  
Joon Yub Kim ◽  
Goo Hyun Baek ◽  
Hyun Sik Gong
Keyword(s):  
Case Report ◽  
Psoriatic Arthritis ◽  
Skin Lesion ◽  
Joint Infection ◽  
Interphalangeal Joint ◽  
Nail Dystrophy ◽  
Rare Form ◽  
Nail Changes ◽  
Methotrexate Treatment ◽  
Dystrophic Nail

Dystrophic nail changes without a skin lesion is a rare form of psoriasis. We describe a patient that presented with a chronic nail onychomycosis and a destructive thumb interphalangeal joint which was initially considered as onychomycotic joint infection, and was later diagnosed as having dystrophic nail changes in psoriatic arthritis and coexistent onychomycosis. The nail changes were completely normalized after methotrexate treatment.

Perinatal Manifestations of Maternal Yellow Nail Syndrome

PEDIATRICS ◽  
1992 ◽  
Vol 89 (6) ◽  
pp. 1016-1018
Author(s):  
Paul Govaert ◽  
Jules G. Leroy ◽  
Romain Pauwels ◽  
Piet Vanhaesebrouck ◽  
Claudine De Praeter ◽  
...  
Keyword(s):  
Clinical Findings ◽  
Neurological Development ◽  
Fetal Hydrops ◽  
Nail Dystrophy ◽  
Chromosomal Disorders ◽  
Yellow Nail Syndrome ◽  
Nail Changes ◽  
Pulmonary Lymphangiectasis ◽  
Multiple Pterygium Syndrome ◽  
Dystrophic Nail

A term female firstborn infant had unexplained nonimmune fetal hydrops and recurrent left chylothorax at 4 weeks of age. A few months before conception, her mother had had acute dystrophic nail changes and is being treated for recurrent sinusitis, bronchiectasis, and a deficiency of serum IgG2. We suggest that they both suffer from a dominantly inherited congenital lymphedema syndrome known as `yellow nail dystrophy.' Prenatal manifestation of this disorder has not been reported previously. The child's anthropometric and neurological development was normal at 1 year of age, whereas mild ankle edema and marbling of the skin of the limbs were salient clinical findings. Inherited lymphedema leading to nonimmune fetal hydrops also has been recognized in chromosomal disorders, Noonan's syndrome, multiple pterygium syndrome, pulmonary lymphangiectasis, and mixed-vessel lymphatic dysfunction. Indicators of parental lymphedema are not on record in those instances.

scholarly journals Psoriatic Arthritis and Nail Psoriasis in a Patient with Concomitant Atopic Dermatitis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Gerhard Eichhoff ◽  
Noriko Soffi Harun
Keyword(s):  
Atopic Dermatitis ◽  
Case Report ◽  
Psoriatic Arthritis ◽  
Nail Psoriasis ◽  
Nail Changes ◽  
History Of

Coincidence of psoriasis and atopic dermatitis (AD) is considered to be very rare, as a result of the different underlying immunopathology. This case report describes a patient with long history of atopy and AD who developed psoriatic nail changes and psoriatic arthritis (PsA). The patient’s skin, however, revealed only eczematous lesions without manifestation of psoriasis.

Nail Enthesis Ultrasound in Psoriasis and Psoriatic Arthritis: A Report from the 2016 GRAPPA Annual Meeting

2017 ◽  
Vol 44 (5) ◽  
pp. 688-690 ◽  
Author(s):  
Joanne Szczygiel Cunha ◽  
Abrar A. Qureshi ◽  
Anthony M. Reginato
Keyword(s):  
Psoriatic Arthritis ◽  
Ultrasound Examination ◽  
Power Doppler ◽  
Interphalangeal Joint ◽  
Distal Interphalangeal Joint ◽  
Structure And Morphology ◽  
Nail Changes ◽  
Close Relationship ◽  
Distal Interphalangeal ◽  
Musculoskeletal Ultrasonography

Musculoskeletal ultrasonography is gaining favor in the evaluation of enthesitis in patients with psoriasis and psoriatic arthritis (PsA). Imaging modalities have shown that the enthesis of the distal interphalangeal joint has a close relationship to the nail itself. Studies have focused on the structure and morphology of nails to determine an association between psoriasis nail changes and the presence or severity of PsA. With the use of higher frequency probes, power Doppler (PD) can determine subclinical inflammation of the area under ultrasound examination. At the 2016 meeting of the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA), we proposed an ultrasonographic index for the assessment of the nail enthesis to identify the morphologic and PD findings of the nail, with the potential that both rheumatologists and dermatologists can use it to evaluate their patients.

scholarly journals Psoriatic onychodystrophy: clinical manifestations (part 1)

2019 ◽  
Vol 94 (6) ◽  
pp. 7-14
Author(s):  
A. V. Platonova ◽  
A. S. Zhukov ◽  
V. R. Khairutdinov ◽  
A. V. Samtsov
Keyword(s):  
Psoriatic Arthritis ◽  
Prognostic Value ◽  
Clinical Manifestations ◽  
Pathological Changes ◽  
Nail Bed ◽  
Nail Changes ◽  
Wide Range ◽  
Mechanisms Of Formation ◽  
The Relationship ◽  
Dystrophic Nail

Psoriatic onychodystrophy is quite common in patients with psoriasis. Changes in psoriatic nails have a wide range of clinical manifestations, including symptoms of damage of the nail bed and/or nail matrix. The article presents information about clinical and pathological manifestations of psoriatic onychodystrophy, the mechanisms of formation of pathological changes. The existence of the relationship between the change of nail plates in patients with psoriasis and the development of psoriatic arthritis is explained, the prognostic value of individual symptoms is analyzed. The diagnostic criteria for the histological diagnosis of psoriatic onychodystrophy are described. The information about the occurrence of each symptom in patients with psoriasis with dystrophic nail changes is given.

A Single Nail Dystrophy as a Unique Manifestation of Sarcoidosis: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Laura Mengeot ◽  
Bernard Stallenberg ◽  
Ivan Théate ◽  
Oliver Vanhooteghem
Keyword(s):  
Case Report ◽  
Clinical Evaluation ◽  
Systemic Disease ◽  
Radiological Examination ◽  
Bone Involvement ◽  
Nail Dystrophy ◽  
Nail Changes ◽  
Osseous Involvement ◽  
Nail Involvement

Sarcoidosis with nail involvement is rare and most commonly affecting plural digits. Nail changes are frequently an indication of systemic disease and underlying bone involvement, thus complete clinical evaluation with bone and thorax radiological examination is a necessity in suspected cases. We report a case of onychodystrophy with osseous involvement of only one finger as unique manifestation of sarcoidosis, which is very rare.

scholarly journals Mortality trends in a Cohort of Canadian Psoriatic Arthritis Patients

2020 ◽  
Vol 14 (2) ◽  
Author(s):  
Boluwaji Ogunyemi
Keyword(s):  
Psoriatic Arthritis ◽  
Health Assessment Questionnaire ◽  
Small Sample Size ◽  
Laboratory Data ◽  
Health Assessment ◽  
Small Sample ◽  
Mortality Trends ◽  
Nail Changes ◽  
Assessment Questionnaire ◽  
Dystrophic Nail

Methods: We reviewed retrospectively the charts of psoriatic arthritis patients who died from 1995-2010.We included 13 deceased patients with a psoriatic arthritis di-agnosis and compared them with 140 patients living with psoriatic arthritis that at-tend the same clinic. The population was derived from a single academic rheumatol-ogist’s practice in St. John’s, Newfoundland, Canada. Patients are seen at six-month intervals with a history and physical exam performed at each visit. Laboratory data was collected at each visit. Diagnosis of psoriatic arthritis is based on the CASPAR Classifcation and Diagnostic Criteria for Psoriatic Arthritis. Results: The mean age of the 13 deceased patients was 62.9 years. Of these, 38.5% were female and 85.7% had an erythrocyte sedimentation rate greater than 15 mm/hour vs. 36.4% of patients living with psoriatic arthritis. Of deceased patients, 16%had dystrophic nail changes of vs. 59.6% of living patients. Health Assessment Questionnaire was found to show a signifcantly greater loss in function in deceasedpatients. (1.39 vs. 0.70, p= 0.002). Almost half of the deceased patients had used Prednisone (46.2%) as opposed to 11.2% of living patients. Conclusions: We realize that this study employs a small sample size. Increased ESR and Health Assessment Questionnaire score were found to be associated with mor-tality in psoriatic arthritis patients. Dystrophic nail changes were found to be pro-tective for psoriatic arthritis patients.

scholarly journals Remarkable Improvement of Nail Changes in Alopecia Areata Universalis with 10 Months of Treatment with Tofacitinib: A Case Report

2016 ◽  
Vol 8 (3) ◽  
pp. 262-266 ◽  
Author(s):  
Sineida Berbert Ferreira ◽  
Morton Scheinberg ◽  
Denise Steiner ◽  
Tatiana Steiner ◽  
Gustavo Longhi Bedin ◽  
...  
Keyword(s):  
Case Report ◽  
Alopecia Areata ◽  
Whole Body ◽  
Nail Dystrophy ◽  
Main Symptom ◽  
Remarkable Improvement ◽  
Nail Changes ◽  
Function Recovery ◽  
Patient Consent ◽  
Chronic Autoimmune Disease

Alopecia areata (AA) is a chronic, autoimmune disease. The main symptom is massive hair loss, localized or diffuse, in the scalp and the whole body. However, nails may also be involved, and brittleness, fragility and pitting can be signs of nail dystrophy in AA patients. Here, we report the case of a male patient with AA refractory to various treatments, including oral, topical and intralesional corticosteroids, immunosuppressants, cyclosporin and PUVA (oxoralen plus ultraviolet light), all interrupted due to side effects. The patient’s nails had erythematous blotches (striated lunulae) with regular and superficial pitting as well as fragility (trachyonychia), and he could no longer play the guitar because of these symptoms. With patient consent, we introduced tofacitinib (5 mg twice daily), which resulted in remarkable improvements not only regarding hair regrowth but also nail changes, with function recovery within 10 months.

Cystic struma ovarii, a rare form of ovarian tumor – a case report, and review of the literature

2007 ◽  
Vol 148 (48) ◽  
pp. 2285-2287 ◽  
Author(s):  
Gabriella Östör ◽  
Ildikó Tóth ◽  
Zsuzsanna Hrubyné Tóth ◽  
Sándor Bazsa
Keyword(s):  
Case Report ◽  
Ovarian Tumor ◽  
Ca 125 ◽  
Struma Ovarii ◽  
Review Of The Literature ◽  
Rare Form

Az ovarialis strumák a petefészek-teratomák kevesebb mint 3%-át adják. Megjelenhet bennük a pajzsmirigy szinte minden betegsége, és előfordulhat malignitás is. A szerzők esetében egy 31 éves nő bal oldali petefészekcisztáját távolították el, amely az ovariumcarcinoma klinikai tüneteit mutatta, úgymint nagy hasi térfoglalás, ascites, emelkedett szérum-CA 125-szint. A szövettani diagnózis benignus struma ovarii volt. A posztoperatív pajzsmirigyműködés normális maradt.

Sonographic Diagnosis of Bilateral Tubal Pregnancies

2021 ◽  
pp. 875647932199235
Author(s):  
Amber R. Matuzak
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Tubal Ligation ◽  
Tubal Pregnancy ◽  
Rare Form ◽  
Sonographic Diagnosis ◽  
Ectopic Pregnancies ◽  
The Right ◽  
Preoperative Sonography ◽  
Bilateral Tubal Pregnancy

Bilateral tubal pregnancy (BTP) is a very rare form of ectopic twin gestation. Many times, they occur after the use of assisted reproductive therapy. Most cases of BTP are diagnosed during laparoscopy. This case report demonstrates a rare preoperative, sonography diagnosis of a spontaneous BTP which occurred after a tubal ligation. The sonogram revealed two corpus luteal cysts, both located on the right ovary, which suggests that the left tubal pregnancy most likely occurred as a result of ovum transmigration. This case demonstrates the important role that sonography plays in the early diagnosis of ectopic pregnancies as well as the importance of thoroughly examining the entire pelvis during a pelvic sonogram.

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