Nail changes in connective tissue diseases : a study of 39 cases

The Pan African Medical Journal

Soumia Chiheb¹  Imane Elmansour¹  Hakima Benchikhi¹ 

[1] Department of dermatology , Ibn Rushd University Hospital,Casablanca, Morocco;

关键词: nail changes;    connective tissue diseases;    nail fold;    periungueal telangiectasia;    longitudinal ridging;    fingertips scars;    peri ungueal erythema;    ragged cuticle;   

DOI  :  10.11604/pamj.2014.18.150.4637

来源: DOAJ

【 摘 要 】

The objective is to identify nail unit changes associated with connective tissue diseases (CTD) and evaluate their frequency. We carried a prospective study between March 2012 and March2013 in our department. All patients with CTD were included. A clinical examination of the fingernails was done by the same dermatologist. Nail features were noted and classified and photos taken. Thirty nine patients were enrolled including: 16 systemic sclerosis, 14 lupus erythematosus (SLE), 8 dermatomyositis (DM), 1 primary Sjorgen's syndrome. The mean age was 40 years old. The mean duration of the disease was 6 years. Nail unit changes were present in 27 patients (69%). The abnormalities observed were Longitidunal ridging in 11 patients ,Peri ungueal erythema in 10 patients ,Peri-ungual telangiectasia in 11 patients ,Ragged cuticle in 10 patients fingertips scars in 9 patients,,Increase of longitudinal curvature and beaking of the nail in 4 patients, Increase in transverse curvature in 4 patients , dyschromia of the proximal nail fold in 3 patients, Subungual hyperkeratosis in 3 patients, onycholysis in 2 patients, splinter haemorrhages in 3 patients, nail plate pigmentation in 2 patients , pseudoclubbing in 1 patient, macrolunula in 1 patients , Red lunulae in one patient , bluish- black discoloration of the nail plate in one patient. The proximal nailfold was found to be most sites affected.

【 授权许可】

Unknown