Chapter 16 - Nails
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- Addison's dz.
- gold therapy
- arsenic intoxication
- malignant melanoma
- nelson's syndrome (enlargement of pituitary adenoma often times after adrenal gland removal)
- Horizontal depression across a nail plate caused by transient arrest of nail growth.
- Causes: MI, PE, or high fever
Usually severely painful herpetic (viral) infection of the distal phalanx. Erythematous streaking of the extremity and enlarged lymph nodes may be noted.
Hippocratic nails (clubbing)
- Cardiac dz
- pulmonary dz
- GI dz
Koilonychia (spoon nail)- seen in long standing iron deficiency anemia or plummer-vinson syndrome
seen in long standing iron deficiency anemia or plummer-vinson syndrome
Distal half is pink or brown and is sharply demarcated from the proximal half which is dull and white and obliterates the lunula. Seen in liver Dz. and azotemia (uremia).
Right sided CHF
Proximal 2/3 of nail plate is white, whereas the distal 1/3 shows the red color of the nail bed. Seen in hypoalbuminemia associated with hepatic cirrhosis.
Yellow nail syndrome
Usually associated with pulmonary disease and lymphedema.
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