Clinical Study of various Nail Disorders presenting to Dermatology Outpatient Department

2017 ◽  
Vol 2 (3) ◽  
pp. 125-129
Author(s):  
Praveen K Rathore ◽  
Sapna Goyal ◽  
Anuj Kumar ◽  
Parul Garg
Keyword(s):  
Clinical Study ◽  
Potassium Hydroxide ◽  
Outpatient Department ◽  
Fungal Culture ◽  
Nail Bed ◽  
Nail Psoriasis ◽  
Medical College ◽  
Gram Staining ◽  
Nail Discoloration ◽  
Pachyonychia Congenita

ABSTRACT Aims and objectives To study the clinical spectrum of nail disorders including congenital, developmental, infectious, neoplastic, degenerative, dermatological, and systemic diseases affecting the nail unit. Materials and methods A total of 100 consecutive cases of nail disorders reporting to the dermatology outpatient department in Rohilkhand Medical College & Hospital were examined. Complete dermatological, systemic, hematological examinations, Gram staining, scraping for fungus, nail clipping for potassium hydroxide mount, fungal culture, biopsy from nail bed were undertaken in doubtful cases. Observations and results Among 100 cases, the most common was onychomycosis — 28 cases, followed by nail psoriasis — 13 cases, pitting — 10 cases, paronychia — 9 cases, trachyonychia — 5 cases, onycholysis — 4 cases, clubbing — 3 cases, koilonychia — 3 cases, ingrow toenail — 3 cases, pterygium — 3 cases, onychogryphosis — 2 cases, subungual wart — 2 cases, half and half nail — 2 cases, anonychia — 2 cases, longitudinal grooves — 2 cases, clubbing with resorption of fingers — 2 cases, onychomadesis — 1 case, nail discoloration — 1 case, melanonychia — 1 case, pachyonychia congenita — 1 case, beau's line — 1 case, racket nail — 1 case, transverse groove — 1 case. Conclusion Among examined cases, onychomycosis was most common followed by another nail disorders. How to cite this article Garg P, Kumar A, Rathore PK, Goyal S. Clinical Study of various Nail Disorders presenting to Dermatology Outpatient Department. Int J Adv Integ Med Sci 2017;2(3):125-129.

Diseases of the Nail Unit

2012 ◽  
Author(s):  
Jennifer Nguyen ◽  
George Cotserelis
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Lichen Planus ◽  
Late Stage ◽  
Potassium Hydroxide ◽  
Nail Plate ◽  
Longitudinal Section ◽  
Antifungal Treatment ◽  
Nail Bed ◽  
Nail Psoriasis ◽  
Nail Matrix

The human nail is a complex unit that includes five major modified cutaneous structures: the nail matrix, nail bed, nail plate, nail folds, and cuticle (eponychium). This chapter discusses the function and structure of the five nail components and the pathophysiology affecting each. Also reviewed are nail findings associated with underlying systemic and dermatologic conditions: splinter hemorrhages, koilonychia, transverse nail-plate depressions (Beau’s lines), onycholysis, leukonychia, clubbing, nail-plate pitting, and longitudinal pigmented bands. Infections of the nail are discussed, which include bacterial paronychia, chronic paronychia, and onychomycosis. Figures illustrate the longitudinal section of the fingernail, multiple pigmented longitudinal bands, psoriasis involving the fingernail, late-stage lichen planus of the fingernail, transverse linear grooves, Pseudomonas aeruginosa causing a green nail, psoriasis of the nail, melanonychia striata, and a nail specimen for potassium hydroxide preparation. Tables describe antifungal treatment for toenail onychomycosis as well as selected dermatologic disorders that affect the nail unit. This chapter contains 50 references.

Diseases of the Nail Unit

2015 ◽  
Author(s):  
Jennifer Nguyen ◽  
George Cotserelis
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Lichen Planus ◽  
Late Stage ◽  
Potassium Hydroxide ◽  
Nail Plate ◽  
Longitudinal Section ◽  
Antifungal Treatment ◽  
Nail Bed ◽  
Nail Psoriasis ◽  
Nail Matrix

The human nail is a complex unit that includes five major modified cutaneous structures: the nail matrix, nail bed, nail plate, nail folds, and cuticle (eponychium). This chapter discusses the function and structure of the five nail components and the pathophysiology affecting each. Also reviewed are nail findings associated with underlying systemic and dermatologic conditions: splinter hemorrhages, koilonychia, transverse nail-plate depressions (Beau’s lines), onycholysis, leukonychia, clubbing, nail-plate pitting, and longitudinal pigmented bands. Infections of the nail are discussed, which include bacterial paronychia, chronic paronychia, and onychomycosis. Figures illustrate the longitudinal section of the fingernail, multiple pigmented longitudinal bands, psoriasis involving the fingernail, late-stage lichen planus of the fingernail, transverse linear grooves, Pseudomonas aeruginosa causing a green nail, psoriasis of the nail, melanonychia striata, and a nail specimen for potassium hydroxide preparation. Tables describe antifungal treatment for toenail onychomycosis as well as selected dermatologic disorders that affect the nail unit. This chapter contains 50 references.

scholarly journals A Clinical Study of Allergic Contact Dermatitis

1970 ◽  
Vol 19 (2) ◽  
pp. 60-62
Author(s):  
Md Moazzem Hossain
Keyword(s):  
Clinical Study ◽  
Contact Dermatitis ◽  
Allergic Contact Dermatitis ◽  
Metal Salts ◽  
Outpatient Department ◽  
College Hospital ◽  
Topical Drugs ◽  
Medical College ◽  
Clinical Patterns ◽  
Allergic Contact

This study was done in the outpatient department of Rajshahi Medical College Hospital from April 2005 to March 2006. In this study the clinical patterns of allergic contact dermatitis and their causative allergic products was studied. Out of 50 patients, 34(68%) were female and 16(32%) were male. The study shows that the clinical patterns of allergic contact dermatitis are eczema 24(48%), hyperpigmentation 14(28%), urticaria 6(12%), acneform eruption 04(08%) and hypopigmentation 02(04%). Allergic products causing allergic contact dermatitis was cosmetics 20(40%), shoe 08(16%), clothing 06(12%), occupation 05(10%) adhesive 04(08%), metals & metal salts 04(08%) topical drugs 02(04%) and rubber gloves 01(02%).   doi: 10.3329/taj.v19i2.3151 TAJ 2006; 19(2): 60-62

scholarly journals Potassium Hydroxide (KOH) Wet Preparation for the Laboratory Diagnosis of Suppurative Corneal Ulcer

1970 ◽  
Vol 9 (1) ◽  
pp. 27-32
Author(s):  
A Laila ◽  
MA Salam ◽  
B Nurjahan ◽  
R Intekhab ◽  
I Sofikul ◽  
...  
Keyword(s):  
Potassium Hydroxide ◽  
Corneal Ulcer ◽  
Medical Science ◽  
Laboratory Diagnosis ◽  
Diagnostic Sensitivity ◽  
Fungal Culture ◽  
Microscopical Examination ◽  
College Hospital ◽  
Medical College ◽  
Microscopic Detection

Background: Suppurative keratitis is a common ophthalmic condition mostly caused by fungi. Apart from fungal culture, wet preparation using 10% Potassium hydroxide (KOH) for microscopic detection of fungal elements is a rapid and accurate method of laboratory diagnosis. Purpose: This prospective and cross sectional study was undertaken in order to evaluate the diagnostic sensitivity of wet preparation microscopy using KOH for detection of fungal agents from suppurative corneal ulcer patients. Methodology: Fifty six (56) consecutive clinically suspected patients of suppurative corneal ulcer attending Rajshahi Medical College Hospital (RMCH) during the period from July, 06 to June, 07 were included. Corneal swabs were taken aseptically for detection of bacteria in gram-stained smear and culture. Conventional mechanical corneal scrapings were collected under topical anesthesia and utilized for microscopic detection of fungal agents in KOH wet preparation and fungal cultures in the department of Microbiology of Rajshahi Medical College. Results: Culture yielded microbial growths in 47(83.93%) out of 56 samples of corneal ulcer that included 24 (42.86%) pure fungal growths, 14 (25.0%) pure bacterial growths and 09 (16.07%) mixed microbial growths (both bacteria and fungi). Direct microscopical examination using 10% KOH wet preparation detected 28 fungal agents out of total 33 fungal cases (combining both pure and mixed fungal growths in culture). Diagnostic sensitivity of wet preparation microscopy was found to be 84.85% by comparing its performance to fungal culture yields, which is the 'gold standard' for laboratory diagnosis. Conclusion: This limited study has revealed that wet preparation can be a tentative diagnosis of fungal keratitis and can be accurately relied upon for initiating prompt anti-fungal therapy and also recommended as a cost-effective method for laboratory diagnosis especially where culture facility is not available. Key Words: Corneal ulcer; Fungi; Potassium hydroxide; Culture; Diagnostic sensitivity. DOI: 10.3329/bjms.v9i1.5228 Bangladesh Journal of Medical Science Vol.09 No.1 Jan 2010 27-32

scholarly journals Ultrasound Evaluation of the Effectiveness of the Use of Acitretin in the Treatment of Nail Psoriasis

2021 ◽  
Vol 10 (10) ◽  
pp. 2122
Author(s):  
Magdalena Krajewska-Włodarczyk ◽  
Zbigniew Żuber ◽  
Agnieszka Owczarczyk-Saczonek
Keyword(s):  
Morphological Changes ◽  
Nail Plate ◽  
Clinical Signs ◽  
Extensor Tendon ◽  
Control Group ◽  
Nail Bed ◽  
Nail Psoriasis ◽  
Ultrasound Evaluation ◽  
Tendon Thickness ◽  
Retinoid Treatment

The study aimed to evaluate the effect of retinoid treatment on the morphological changes in the nail apparatus in patients with nail psoriasis. Material and methods: 41 patients aged 32 to 64 with nail psoriasis, without clinical signs of psoriatic arthritis, started on acitretin 0.6 to 0.8 mg kg b.w./d, for six months and 28 people in the control group were included in the study. Both groups had ultrasound examination of fingernails and digital extensor tendon in the distal interphalangeal joints. In psoriatic patients, US examination was conducted before starting the treatment and after six months. A total of 685 nails were examined. Results: After six months of treatment, there was a reduction in the thickness of the nail bed and nail matrix (p = 0.046 and p = 0.031, respectively). The thickness of the nail plates decreased, although it was statistically insignificant (p = 0.059) and it was higher than in the control group (p = 0.034). The reduced severity of clinical nail changes after six months of retinoid treatment did not correlate with the reduction in extensor tendon thickness in any group of patients. Conclusions: In patients with nail psoriasis, acitretin treatment resulted in a rapid decrease in the thickness of the nail bed and matrix, but it did not affect the thickness of the nail plate after six months. There was no effect of acitretin on the digital extensor tendon thickness or the increased blood supply to the tendon area. The results of the study may indicate the usefulness of ultrasound nail examinations in patients with nail psoriasis not only to assess the advancement of morphological changes and response to treatment, but also to choose the potential treatment.

Various interdental aids, their effectiveness and recommendation; A Cross-Sectional Survey

2021 ◽  
Vol 15 (8) ◽  
pp. 2046-2049
Author(s):  
Ali Anwaar ◽  
Fareed Ahmad ◽  
Muhammad Shairaz Sadiq ◽  
Mustafa Qadeer ◽  
Muhammad Afzal ◽  
...  
Keyword(s):  
Sample Size ◽  
Oral Hygiene ◽  
Dental Hygiene ◽  
Study Data ◽  
Outpatient Department ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Know How ◽  
Medical College ◽  
The Masses

Objective: The aim of this study is to discover effectiveness of interdental aid, their use in the daily oral hygiene and suggestion of interdental aid to be used. Methods & Materials: This study was conducted among 503 convenient samples of patients from outpatient department of IOD, CMH Lahore medical college. It is a questionnaire-based study. Data collected from February 2021 to April 2021. A written consent was taken. All the examiners were calibrated for check-up and questionnaire was filled on effectiveness of interdental aids and its uses and recommendation by individual. Results: Total 503 people with 230 females and 273 males were participated in the study. Majority of the sample size did not know how to do interdental cleaning. Also, there is lack of awareness about dental hygiene in the masses. Conclusion: Amongst the patients which came for their dental treatments who were using any interdental cleaning aid, toothpick was the most common choice. However, toothpicks are not a recommended aid because it can damage the gums and cause bleeding. Awareness should be given to the patients so that they use appropriate methods and aids for interdental cleaning. Keywords: Interdental Aids, Effectiveness

scholarly journals AWARENESS, STRESS, ANXIETY, AND DEPRESSION AMONG HYPERTENSIVE PATIENTS ATTENDING CARDIAC OUTPATIENT DEPARTMENT IN A SUPER SPECIALTY HOSPITAL

2016 ◽  
Vol 9 (5) ◽  
pp. 62
Author(s):  
Sushil Kumar Sharma ◽  
Vineeta Sawhney
Keyword(s):  
Support Services ◽  
Outpatient Department ◽  
Anxiety And Depression ◽  
Psychiatric Evaluation ◽  
Hypertensive Patients ◽  
Stress Scale ◽  
Medical College ◽  
Hypertension Awareness ◽  
Health Disorders ◽  
Anxiety Depression

ABSTRACTObjective: Hypertension is a major risk factor for cardiovascular disease and its association with negative emotions may increase their risk forthe development of mental health disorders. The main objective of the study was to assess the awareness, stress, anxiety, and depression amonghypertensive patients attending cardiac outpatient department (OPD).Methods: This study was conducted in cardiac OPD of Super Speciality Hospital associated with Government Medical College, Jammu, for a period of1-month commencing from 1st October to 31 October 2015. Hypertensive patients were given a questionnaire regarding socio-demographic profile,risk factors, and awareness for high blood pressure, and prevalence of stress, anxiety, and depression was assessed using a structured validatedquestionnaire DASS-21 [depression, anxiety, and stress scale-21].stResults: It was observed that most (72.5%) of the patients were aware of symptoms and its complications and regarding psychological symptomsmild to severe depressive symptoms were present in 10%, anxiety in 70%, and stress in 10% of patients.Conclusion: There is need of psychiatric evaluation and counseling in these patients and support services to be made available to these patients.Keywords: Hypertension, Awareness, Stress, Anxiety, Depression, Depression; anxiety and stress scale-21.

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