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2021, Number 4

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Dermatología Cosmética, Médica y Quirúrgica 2021; 19 (4)

Retronychia, an Under-Recognized Onychopathy. Report of Two Cases

Elizalde-Jiménez IG, Vázquez-Velo JA, Galván MIL, García-Romero MT
Full text How to cite this article

Language: Spanish
References: 11
Page: 348-352
PDF size: 202.09 Kb.


Key words:

retronychia, proximal subungual paronychia, image study, chemical ablation.

ABSTRACT

Retronychia is the term used to describe ingrowth of the nail plate into the proximal nail fold, followed by generation of secondary nail plates below the original or primary nail plate, producing chronic paronychia. It is related to repetitive local trauma affecting the proximal nail matrix and is characterized by growth arrest of the primary nail plate, subacute/chronic proximal paronychia and xantonychia. Given the clinical suspicion of the entity, the clinical diagnosis can be complemented by image studies. Nail plate avulsion is the first-line treatment. This article presents two cases of young patients (20 and 39 years) in which the classic triad of the disease was found, with different presentations of retronychia, who suffered delay in the definitive diagnosis and management of their condition.


REFERENCES

  1. Baran R, Dawber R y Richert B, Physical signs. En Baran R, Dawber R, De Berker D, Haneke E y Tosti A, Baran and Dawber’s diseases of the nails and their management, 3ª ed., Oxford, Blackwell Science, 2001, pp. 74-7.

  2. Litaiem N, Drissi H, Zeglaoui F y Kachemoune A, Retronychia of the toenails: a review with emphasis on pathogenesis, new diagnostic and management trends, Arch Dermatol Res 2019; 311(1):1-8.

  3. Domínguez J, Cirugía de uñas: onicocriptosis. En Arenas R, Onicopatías, guía práctica de diagnóstico, tratamiento y manejo, 2ª ed., México, Mc- Graw-Hill, 2013, pp. 165-71.

  4. García Cárdenas C, Jara Meza F y Aldunce M, Retroniquia: una causa de paroniquia proximal aguda, Piel 2021; 36(3):150-2.

  5. De Berker D, Richert B, Duhard E, Piraccini B, André J y Baran R, Retronychia: proximal ingrowing of the nail plate, J Am Acad Dermatol 2008; 58(6):978-83.

  6. Alessandrini A, Sechi A, Merli Y, Bruni F, Piraccini B y Starace M, Intralesional steroid treatment for the intermediate stage of retronychia: a pilot study, Dermatol Ther 2020; 33(1):1-6.

  7. Braswell M, Beau lines, onychomadesis, and retronychia: a unifying hypothesis, J Am Acad Dermatol 2015; 73(5):849-55.

  8. Rich P, Overview of nail disorders, Massachusetts, UpToDate, 5 de diciembre de 2019. Disponible en: https://www-uptodate-com.pbidi. unam.mx:2443/contents/overview-of-nail-disorders?search=overview% 20of%20nail%20disorders%20&source=search_result&selectedTitle= 1~150&usage_type=default&display_rank=1. Fecha de consulta: 9 de agosto de 2021.

  9. Borges C, Da Rocha e Souza M, Fonseca L y Di Chiaccio N, Retronichya, An Bras Dermatol 2018; 93(5): 707-11.

  10. Fernández J, Reyes F y Wortsman X, Ultrasonographic criteria for diagnosing unilateral and bilateral retronychia, J Ultrasound Med 2017; 37(1):1201-9.

  11. Arenas R, Onicocriptosis. En Arenas R, Dermatología. Atlas, diagnóstico y tratamiento, 7ª ed., México, McGraw-Hill, 2019, pp. 748-52.




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Dermatología Cosmética, Médica y Quirúrgica. 2021;19