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2016, Number 4

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Dermatología Cosmética, Médica y Quirúrgica 2016; 14 (4)

Manifestations of Nail Apparatus in Collagen Diseases: Report of 43 Cases

Chang P, Argueta TG, Cohen SEN, Anzueto E
Full text How to cite this article

Language: Spanish
References: 26
Page: 270-280
PDF size: 386.21 Kb.


Key words:

collagen diseases, dermatomyositis, systemic sclerosis, mixed connective tissue disease, rheumatoid arthritis, Raynaud’s phenomenon, periungual erythema, periungual telangiectasia, acrosclerosis, pterygium, dilated capillaries.

ABSTRACT

Background: collagen diseases can affect one or several components of the nail apparatus.
Objectives: to learn the manifestations of the nail apparatus in hospitalized patients with diagnosis of collagen diseases (les, dermatomyositis, systemic sclerosis, mixed disease of the connective tissue, rheumatoid arthritis) of the General Diseases Hospital igss.
Methodology: a descriptive study was performed in 43 patients hospitalized in the medical services at the General Diseases Hospital igss with diagnosis of collagen diseases (les, dermatomyositis, systemic sclerosis, mixed disease of the connective tissue, rheumatoid arthritis) from January 1, 2009 to June 30, of 2016, to study the manifestations of this type of diseases in the nail apparatus. A comprehensive review of the hand nail apparatus was conducted in all the patients and no nail diseases other than those related with the diseases under study were included. Outpatients were not included.
Results: The results are shown in tables 1 and 2.
Conclusions: collagen diseases can affect the entire nail apparatus. This study shows that the proximal fold was the most affected in dermatomyositis and in systemic sclerosis with the presence of dilated capillary, thickened cuticle and avascular areas. During the physical exam to this type of patients it is important to consider these clinical data and the use of the dermatoscope.


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Dermatología Cosmética, Médica y Quirúrgica. 2016;14