By Robert Baran, Ivan Bristow, Rodney P. R. Dawber, Ekart Haneke, Antonella Tosti
A useful diagnostic relief for dermatologists and podiatrists. entire assurance of pathologies affecting the toe and finger nails is accomplished via complete dialogue, supported through wide use of colour photos.
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Additional resources for A Text Atlas of Nail Disorders: Techniques in Investigation and Diagnosis
50). 6 lists the known associations of micronychia and macronychia. 52 Bifid thumb. 51 Bifid toe. Duplication of the thumb is a sign of congenital polydactyly, one of the most common anomalies of the hand. 51). Seven types of thumb polydactyly can be distinguished according to the level of bone bifurcation. 53). Symphalangism is commonly observed. Thumb polydactyly may be sporadic, usually transmitted as an autosomal dominant trait with variable expressivity. A similar clinical picture can be seen in the great toe with bifurcation of the terminal phalanx and duplication of the nail.
24 Dolichonychia (long nails). 25 Dolichonychia in Marfan’s syndrome. 34) the width of the nail plate (and the nail bed) is greater than the length. It may occur in isolation or in association with shortening of the terminal phalanx. This ‘racquet thumb’ is usually inherited as an autosomal dominant trait. All the fingers may rarely be involved. The epiphyses of the terminal phalanx of the thumb usually undergo closure between 13 and 14 years of age in girls, slightly later in A text atlas of nail disorders 30 boys.
This morphological abnormality would be no more than a curiosity if the constriction were not occasionally accompanied by pain which can be provoked by the lightest of touch, such as the weight of a bedsheet. There are a number of subtypes of this condition: 1 The inherited form usually shows symmetrical involvement of both the great toe nails and of the lesser toe nails. The great toe nails typically have lateral deviation of their longitudinal axis, the lesser toe nails being deviated medially.