Chang P, Rodas AC

Language: Spanish
References: 4
Page: 36-39
PDF size: 119.53 Kb.

ABSTRACT

Background: The blackish, blackish-brown and brown nail pigmentation can be of different types and from different causes; they may give diagnostic doubt according to its etiology.
Objetive: To reveal a quick and effective method of diagnosis for subungueal hemorrhages.
Material and Methods: Twelve patients of the services of medicine and surgery at the Hospital General de Enfermedades IGSS were studied with nail pigmentations of hemorrhagic and non-hemorrhagic type in the toenails. All patients underwent a scraping of the pigmentation site and the iChem test (urinary strips) was applied.
Results: The test applied was effective in ten patients.
Conclusion: Urinary strips are an easy, accessible, low-cost and very helpful method to diagnose and distinguish subungual hemorrhages from neoplasm (melanoma).

REFERENCES

1. Haneke E. “Diagnosis and treatment of benign nail tumors”. Dermatología Helénica 2005;4. Disponible en línea en www.iatrikionline.gr/ DermXeir_04_05/5.htm. Consultado el 20 de junio de 2008.

2. Huang YH, Ohara K. “Medical pearl: subungual hematoma: a simple and quick method for diagnosis”. J Am Acad Dermatol 2006; 54: 877-878.

3. Baran R, Dawber RPR, Tosti A, Haneke E. A text atlas of nail disorders, Martin Dunitz, Reino Unido, 2001, 83-84.

4. Elpern D. “Subungual melanoma vs. hematoma”. 2001. Virtual Grand Rounds in Dermatology 2001. Disponible en línea en www.vgrd.org/ archive/cases/2001/submel/submel.html. Consultado el 20 de junio de 2008.