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2011, Number 2

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Dermatología Cosmética, Médica y Quirúrgica 2011; 9 (2)

Nail manifestations in systemic diseases
Questionnaire

Sevilla GFK, Ocampo CJ

Language: Spanish
References: 25
Page: 131-138
PDF size: 302.02 Kb.


ABSTRACT

The visual physical exam of the nails can be useful for diagnosis of underlying systemic diseases. Although abnormalities of the nails have been reported in different systemic disorders, most of these abnormalities are nonspecific. Clubbing often suggests pulmonary disease or inflammatory bowel disease. Koilonychia or “spoon-shaped” nails, may stimulate a work-up for anemia or hemochromatosis. Beau’s lines may indicate previous severe illness, or a simple trauma. In patients with Muehrcke’s lines, causes of hypoalbuminemia should be ruled out. Splinter hemorrhage in patients with heart murmur and unexplained fever can herald endocarditis. When evaluating nails for diagnostic clues, it is important to examine all of the nails as well as surrounding nail tissues.


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