Cargando…

Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study

BACKGROUND: Nail disorders account for about 10% of all dermatological conditions. Onychoscopy is useful not only for their diagnosis but also for assessing severity/progression and monitoring the response to therapy. AIMS AND OBJECTIVES: Describing dermoscopic features of nail disorders in patients...

Descripción completa

Detalles Bibliográficos
Autores principales: Sutaria, Aashna, Pol, Devayani, Dalave, Kalyan, Deora, Mahendra S., Sharma, Yugal K., Shah, Chintal H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10162723/
https://www.ncbi.nlm.nih.gov/pubmed/37151277
http://dx.doi.org/10.4103/ijd.ijd_215_22
_version_ 1785037753393610752
author Sutaria, Aashna
Pol, Devayani
Dalave, Kalyan
Deora, Mahendra S.
Sharma, Yugal K.
Shah, Chintal H.
author_facet Sutaria, Aashna
Pol, Devayani
Dalave, Kalyan
Deora, Mahendra S.
Sharma, Yugal K.
Shah, Chintal H.
author_sort Sutaria, Aashna
collection PubMed
description BACKGROUND: Nail disorders account for about 10% of all dermatological conditions. Onychoscopy is useful not only for their diagnosis but also for assessing severity/progression and monitoring the response to therapy. AIMS AND OBJECTIVES: Describing dermoscopic features of nail disorders in patients reporting to the dermatology OPD of our tertiary care hospital and recording the sociodemographic profiles thereof. MATERIALS AND METHODS: This cross-sectional observational study was carried out on 176 patients with effect from August 2019 to August 2021. RESULTS: Males (99; 56.25%) outnumbered females (77; 43.75%); males: female: 1.28: 1; their mean age was 35.8 years. Fingernails were affected more oftener (84.09%) than toenails (38.64%). Onychomycosis, the commonest (58;32.95%) condition, revealed findings of aurora borealis pattern (75.86%), subungual hyperkeratosis (72.41%), and onycholysis with jagged edges and spikes (68.97%). The next frequent (32;18.18%) condition was nail psoriasis which revealed pits (81.25%); onycholysis (62.5%) and dilated globose nail fold vessels on capillaroscopy (25%). LIMITATIONS: The small sample size proved inadequate for the evaluation of statistical significance in the less common conditions and the correlation of disease severity of many. Ideally, confirmatory diagnostic tests should have been done in every patient, as indicated. The magnification of our dermoscopy was 10X; 20- and 40X permit better capillaroscopy. CONCLUSIONS: Onychocopy can minimize the need for biopsy by highlighting subtle changes and helps narrow down the differentials. It is potentially a diagnostic test of choice in younger children. Our study helped to grade the severity of connective tissue disorders and establish the benignity of melanonychia. Photographic documentation facilitates record-keeping.
format Online
Article
Text
id pubmed-10162723
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-101627232023-05-06 Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study Sutaria, Aashna Pol, Devayani Dalave, Kalyan Deora, Mahendra S. Sharma, Yugal K. Shah, Chintal H. Indian J Dermatol Original Article BACKGROUND: Nail disorders account for about 10% of all dermatological conditions. Onychoscopy is useful not only for their diagnosis but also for assessing severity/progression and monitoring the response to therapy. AIMS AND OBJECTIVES: Describing dermoscopic features of nail disorders in patients reporting to the dermatology OPD of our tertiary care hospital and recording the sociodemographic profiles thereof. MATERIALS AND METHODS: This cross-sectional observational study was carried out on 176 patients with effect from August 2019 to August 2021. RESULTS: Males (99; 56.25%) outnumbered females (77; 43.75%); males: female: 1.28: 1; their mean age was 35.8 years. Fingernails were affected more oftener (84.09%) than toenails (38.64%). Onychomycosis, the commonest (58;32.95%) condition, revealed findings of aurora borealis pattern (75.86%), subungual hyperkeratosis (72.41%), and onycholysis with jagged edges and spikes (68.97%). The next frequent (32;18.18%) condition was nail psoriasis which revealed pits (81.25%); onycholysis (62.5%) and dilated globose nail fold vessels on capillaroscopy (25%). LIMITATIONS: The small sample size proved inadequate for the evaluation of statistical significance in the less common conditions and the correlation of disease severity of many. Ideally, confirmatory diagnostic tests should have been done in every patient, as indicated. The magnification of our dermoscopy was 10X; 20- and 40X permit better capillaroscopy. CONCLUSIONS: Onychocopy can minimize the need for biopsy by highlighting subtle changes and helps narrow down the differentials. It is potentially a diagnostic test of choice in younger children. Our study helped to grade the severity of connective tissue disorders and establish the benignity of melanonychia. Photographic documentation facilitates record-keeping. Wolters Kluwer - Medknow 2023 /pmc/articles/PMC10162723/ /pubmed/37151277 http://dx.doi.org/10.4103/ijd.ijd_215_22 Text en Copyright: © 2023 Indian Journal of Dermatology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Sutaria, Aashna
Pol, Devayani
Dalave, Kalyan
Deora, Mahendra S.
Sharma, Yugal K.
Shah, Chintal H.
Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study
title Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study
title_full Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study
title_fullStr Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study
title_full_unstemmed Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study
title_short Onychoscopy of Nail Lesions in Dermatological Disorders: A Cross-Sectional Observational Study
title_sort onychoscopy of nail lesions in dermatological disorders: a cross-sectional observational study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10162723/
https://www.ncbi.nlm.nih.gov/pubmed/37151277
http://dx.doi.org/10.4103/ijd.ijd_215_22
work_keys_str_mv AT sutariaaashna onychoscopyofnaillesionsindermatologicaldisordersacrosssectionalobservationalstudy
AT poldevayani onychoscopyofnaillesionsindermatologicaldisordersacrosssectionalobservationalstudy
AT dalavekalyan onychoscopyofnaillesionsindermatologicaldisordersacrosssectionalobservationalstudy
AT deoramahendras onychoscopyofnaillesionsindermatologicaldisordersacrosssectionalobservationalstudy
AT sharmayugalk onychoscopyofnaillesionsindermatologicaldisordersacrosssectionalobservationalstudy
AT shahchintalh onychoscopyofnaillesionsindermatologicaldisordersacrosssectionalobservationalstudy