Nail222.docx

Nail Picture of longitudinal groove in nail (show parrot peek) in Synovitis Osteoarthritis Rheumatoid arthriti If longitudal groove >> papilloma or myxoid cyst If myxoid cyst is ass with osteoarthritis If parrot beak >>systemic sclerosis or repeated trauma (peripheral neuropathy) Pi...

Nail Picture of longitudinal groove in nail (show parrot peek) in Synovitis Osteoarthritis Rheumatoid arthriti If longitudal groove >> papilloma or myxoid cyst If myxoid cyst is ass with osteoarthritis If parrot beak >>systemic sclerosis or repeated trauma (peripheral neuropathy) Picture of hyperkeratotic nail slightly bending downward what is association: a. Osteoarthritis Rheumatoid arthritis Psoriasis Oil spot in nail a. Bed Matrix Plate Nail pitting a. Matrix What forming distal part of nail a. Ventral nail fold Dorsal part of nail plate a. Proximal matrix Distal matrix Nail bed Nail fold Onycholysis due to Doxycycline or Tetracyclines Picture of 10 nails affected (Psoriasis??) associated with a. Arthritis problem Same previous picture ttt MTX Acitretin Intralesional steroid Etanercept If only bed: Topical If matrix: IL steroids (few nails) Acitretin (many nails ) If other indication (like arthritis): MTX, Biologics, Cys A. Nail lesion in patient and his sister 3 fingers ttt 1. Acitretin 2. Antifungal If pachyonychia congenitaز Psoriasis in nail and palm ttt a. Acitretin b. MTX Best treatment nail psoriasis May be biologic: Adalimumab / Etanercept Single band of longitudinal erythronychia Distal margin may be fissured common benign tumors? Onychopapilloma Myxoid cyst ( (description). What complication a. Osteoarthritis Photo of Darier's nail Psoriatic nail If Acitretin not in choices choose MTX Picture of nails dystrophic hyperkeratotic with history of boy & sister with hypothyroidism high TSH and Low T4 what ttt: Acitretin Itraconazole Picture of nails dystrophic hyperkeratotic with history of boy & sister with hypothyroidism high TSH and Low T4 what inheritance: AR AD بس darierصوره البهام سيئه وغير واضحه وبيقول عنده اعراض من زمان فى الجلد واالظافر كان فى الخيارات 19. في صباع كده انا اخترتerthronychiaالصورة مكانش واضح فيها حاجه Nail white coloured of proximal half normal distal cause Chemotherapy Hypothyroidism Cong heart failure if terry nail Arsenic Only description without photo of almost whole white nail with normal peripheral rim a. Terry White nail with normal rim Hypothyroidism Congestive heart failure Arsenic poisoning