Chang P

Language: Spanish
References: 11
Page: 236-240
PDF size: 1282.28 Kb.

ABSTRACT

Antecedents: Beau’s lines can affect fingernails and toenails due to different etiologies.
ObjectIve: To present our clinical experience regarding patients hospitalized with Beau’s lines.
Methods: We carried out a transversal, prospective study to find out the frequency of Beau’s lines in 121 patients from the Internal Medicine and Surgery Services at the Hospital General de Enfermedades IGSS in Guatemala. Neither age, sex nor diseases causing hospitalization were used as criteria for the inclusion of a patient in this study, which took place during the first fifteen days of December 2009. We performed dermatological examination of fingernails and toenails of all patients exclusively looking for the presence of Beau’s Lines.
Results: Of the 121 patients studied, 20 (16.52%) presented Beau’s lines, 17 patients were males (85%), and 3 were females (15%). Beau’s Lines in toenails were predominant, they were found in 10 (50%) patients, 6 (30%) cases on fingernails, and 4 cases (20 %) on toenails. Causes for patients with Beau’s lines were hematooncological diseases, 5 (25%); chronic renal failure, 3 (15 %); diabetes mellitus, 2 (10%); Surgery, 2 (10%); Steven Johnson’s syndrome, cirrhosis, renal transplantation, sepsis, venous insufficiency, convulsion, Nelson syndrome, and AIDS, 1 case per cause, respectively (5%).
ConclusIons: the most common cause for Beau’s lines in our patients was hematology-oncology treated with cytostatic, 5 cases (25%).

REFERENCES

1. “Definition of Beau’s lines” MedicineNet.com

2. En http://www.medterms.com/script/main/art.asp?articlekey=40054, 12 de abril de 2009.

3. Dawber RPR, De Berker D, Baran R. “Science of the nail apparatus”. [in:] Diseases of the Nails and their Management. Blackwell Scientific Publications, London, 1994: 50-51.

4. Dupond AS, Magy N, Humbert P, Dupond JL. “Nail manifestations of systemic diseases”. Rev Prat 2000 15; 50(20): 2236-2240.

5. Baran R, Dawber RPR, Tosti A, Haneke E. A Text of Atlas Nail Disorders. Martin Dunitz, London, 2001: 53-55.

6. Ben-Dayan D, Mittelman M, Floru S, Djaldetti M. “Transverse nail ridgings (Beau’s lines) induced by chemotherapy”. Acta Haematol 1994; 92(4): 212-213.

7. Roberts S. “Post-traumatic Beau’s lines”. Injury 1993; 24(9): 637-638.

8. Weismann K. “Lines of Beau: Possible markers of zinc deficiency”. Acta Derm Venereol 1977; 57(1): 88-90.

9. Harford RR, Cobb MW, Banner NT. “Unilateral Beau’s lines associated with a fractured and immobilized wrist”. Cutis 1995; 56(5): 263-264.

10. Ward DJ, Hudson I, Jeffs JV. “Beau’s lines following hand trauma”. J Hand Surg Br 1988; 13(4): 411-414.

11. Lee YJ, Yun SK. “Unilateral Beau’s lines associated with a fingertip crushing injury”. J Dermatol 2005; 32(11): 914-916.