Cases reported "Hand Dermatoses"

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1/82. Laugier-Hunziker syndrome: case report and treatment with the Q-switched Nd-Yag laser.

    We report the case of a 46-year-old Caucasian female presenting with mucocutaneous pigmentation on the lips, oral mucosa, hands, feet and nails, as well as on a psoriatic plaque. She was successfully treated with Q-switched Nd-Yag laser, with double frequency, for both the mucosal and cutaneous lesions.
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ranking = 1
keywords = nail
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2/82. White superficial onychomycosis of the fingernail caused by trichophyton rubrum in an immunocompetent patient.

    White superficial onychomycosis in immunocompetent patients is most commonly due to trichophyton mentagrophytes, and almost exclusively involves the toenail. We present a unique case of an otherwise healthy patient with white superficial onychomycosis involving the fingernail caused by T. rubrum.
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ranking = 18900.302193931
keywords = onychomycosis, nail
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3/82. onychomycosis caused by Scytalidium dimidiatum. Report of two cases. review of the taxonomy of the synanamorph and anamorph forms of this coelomycete.

    The authors report two cases of onychomycosis in the dystrophic form, one of them involving an hiv-positive patient, provoked by Scytalidium dimidiatum, previously called Scytalidium lignicola. The subject is reviewed from the taxonomic viewpoint, considering the anamorph Hendersonula toruloidea as a synonym of Nattrassia mangiferae, and having Scytalidium dimidiatum as the major synanamorph. According to many mycologists, Scytalidium hyalinum may be a separate species or a hyaline mutant of Scytalidium dimidiatum. Scytalidium lignicola Pesante 1957 was considered to be the type-species of the genus by ELLIS (1971)13 and later to be a "conidial state" of Hendersonula toruloidea by the same author, today known as Nattrassia mangiferae. The microorganism lives only on the roots of certain plants (mainly Platanus and pinus). It produces pycnidia and is not considered to be a pathogen, although it is considered as a possible emerging agent capable of provoking opportunistic fungal lesions. The importance of this topic as one of the most outstanding in fungal taxonomy, so likely to be modified over time, as well as its interest in the field of dermatologic mycology, are emphasized.
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ranking = 3149.0503656551
keywords = onychomycosis
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4/82. Allergic onycholysis and paronychia caused by cyanoacrylate nail glue, but not by photobonded methacrylate nails.

    Artificial acrylic nails may induce side effects such as fingertip dermatitis, periungual dermatitis, onycholysis, paresthesiae, Raynaud's phenomenon, ectopic facial involvement, and allergic contact dermatitis. We present a patient who developed allergic onycholysis from a cyanoacrylate used in a nail adhesive. She was able to use photobonded sculptured nails because they contain methacrylates that do not cross-react with cyanoacrylates.
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ranking = 11
keywords = nail
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5/82. fusarium fingernail infection responsive to fluconazole intermittent therapy.

    A case of fingernail infection by fusarium is presented. This nondermatophytic mold is an infrequent cause of onychomycosis, more typically involving the great toenail. Characteristic histologic features including the presence of hyphae and chlamydoconia are helpful in rapid diagnosis and selection of appropriate antifungal therapy. Although fusarium has shown resistance to most antifungal medications in vitro, intermittent therapy with fluconazole led to improvement in this patient.
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ranking = 3155.0503656551
keywords = onychomycosis, nail
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6/82. Multiple-digit onychomycosis: a simple surgical cure.

    The management of intractable onychomycosis involving multiple fingernails continues to be optimized. Failure of pharmacological treatment necessitates operative intervention. Current surgical procedures are complex and have frequent donor site complications. This report describes a safe, simple, and effective surgical treatment that eradicates the disease, results in low morbidity, and yields high patient satisfaction.
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ranking = 15746.251828275
keywords = onychomycosis, nail
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7/82. Case report and review. onychomycosis due to candida parapsilosis.

    We report a case of onychomycosis with melanonychia due to candida parapsilosis alone. candida parapsilosis is now identified in the great majority of candidal onychomycosis, mainly in association with other yeasts. The criteria allowing the distinction between invasion and colonization, the risk factors and the treatment of C. parapsilosis onychomycosis are discussed.
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ranking = 9447.1510969653
keywords = onychomycosis
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8/82. onychomycosis caused by alternaria spp. in Tuscany, italy from 1985 to 1999.

    Cutaneous phaeohyphomycosis due to alternaria spp. is reported with increasing frequency, especially in patients with immune deficiency. onychomycosis caused by this mould is still rarely observed. Here we report nine cases observed in Tuscany in the period 1985-99; the agent was alternaria alternata in eight cases and alternaria chlamidospora in one. diagnosis was made on the basis of repeated direct microscopic mycological examination and culture, confirmed by scanning electron microscope observation of fragments of colonies. In most cases, the clinical manifestations were dystrophy and distal subungual hyperkeratosis of one or two nails of the feet or hands. Seven cases were treated with oral itraconazole, successfully in six cases, as clinical and mycological recovery was confirmed at follow-up 1 year later.
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ranking = 1
keywords = nail
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9/82. Nail dystrophy due to lichen sclerosus?

    Lichen sclerosus (LS) affects anogenital skin alone in 80% of cases. When extragenital disease occurs, it usually affects the trunk, neck, axillae and wrist flexures. Nail involvement with LS is rare. In contrast, lichen planus (LP) commonly affects extragenital skin. Mucosal lesions occur in 50% of cases, affecting the mouth and genitalia. Nail disease in LP is common, and, if severe, can lead to destruction of the nail bed. LS and LP can coexist. We report two cases of LS with nail involvement. In the Case 1 disease was confined to the nail, and nail biopsy confirmed LS. In the Case 2, the nail changes formed part of the widespread genital and extragenital LS, confirmed histologically. We review existing literature on nail disease in LS and discuss the possible aetiology of the nail changes.
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ranking = 7
keywords = nail
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10/82. Nail matrix arrest in the course of hand, foot and mouth disease.

    Onychomadesis describes complete nail shedding from the proximal portion; it is consecutive to a nail matrix arrest and can affect both fingernails and toenails. It is a rare disorder in children. Except for serious generalised diseases or inherited forms, most cases are considered to be idiopathic. Few reports in literature concern common triggering phenomena. We present four patients in whom the same benign viral condition in childhood appeared as a stressful event preceding onychomadesis. In each case, spontaneous complete healing of the nails was achieved within a few weeks. CONCLUSION: Onychomadesis and/or onycholysis is a newly recognised complication in the course of viral infections presenting clinically as hand, foot and mouth disease, and because of mild forms, is probably underestimated.
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ranking = 5
keywords = nail
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