Onycholysis: Difference between revisions

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Revision as of 15:10, 31 July 2012

Infobox goes here

For patient information, click Onycholysis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords:

Overview

Onycholysis is a loosening of the exposed portion of the nail from the nail bed, usually beginning at the free edge and continuing to the lunula. It is frequently associated with an internal disorder, trauma, infection, nail fungi, allergy to nail enhancement products, or side effects of drugs.

Historical Perspective

Classification

Pathophysiology

Genetics

Associated Conditions

Causes

Common causes of onycholysis include:

Trauma: such as excessive manicuring.
Infection: especially fungal.
Skin disease: such as psoriasis and dermatitis.
Impaired peripheral circulation such as in Raynaud's disease.
Systemic disease: such as hyperthyroidism, hypothyroidism, reactive arthritis, porphyria cutanea tarda.
Reactions to some detergents such as washing dishes with bare hands and using detergent-based shampoos or soaps.
Treatment with docetaxel.
Occurring spontaneously with an unknown cause.

Differentiating onycholysis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications, and Prognosis

Diagnosis

Symptoms

Family History

Physical Examination

Appearance of the Patient

Vital Signs

Skin

Head

Eyes

Ear

Nose

Throat

Heart

Lungs

Abdomen

Extremities

Neurologic

Other

Laboratory Findings

Biomarker Studies

CT

MRI

Ultrasound

Treatment

Pharmacotherapy

Acute Pharmacotherapies

Chronic Pharmacotherapies

Surgery and Device Based Therapy

Indications for Surgery

Pre-Operative Assessment

Post-Operative Management

Primary Prevention

Genetic Counseling

References

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@@ Line 25: / Line 25: @@
 ==Causes==
+Common causes of onycholysis include:
+*[[Trauma]]: such as excessive manicuring.
+*[[Infection]]: especially [[fungal]].
+*[[Skin disease]]: such as [[psoriasis]] and [[dermatitis]].
+*Impaired peripheral circulation such as in [[Raynaud's disease]].
+*Systemic disease: such as [[hyperthyroidism]], [[hypothyroidism]], [[reactive arthritis]], [[porphyria cutanea tarda]].
+*Reactions to some detergents such as washing dishes with bare hands and using detergent-based shampoos or soaps.
+*Treatment with [[docetaxel]].
+*Occurring spontaneously with an unknown cause.
 ==Differentiating onycholysis from other Diseases==