Nails are an incredible portion of dermatology and of common perform, due to the fact that they're a favourite a part of a patient’s snapshot projected to the area. As such, dermatologists and people in kin perform now not absolutely brand new with some of the techniques on hand will welcome this succinct source to offer suggestions on all kinds of remedy. This reference consultant from overseas specialists covers either the diseased and the injured nail and either scientific and surgical ideas, utilizing a hugely visible sort to express the correct details at a look.

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Baran R, Hay R, Haneke H, Tosti A. Onychomycosis. 2nd edn. Boca Raton. 2006; 119. Dominguez-Cherit J, Teixeira F, Arenas R. Combined surgical and systemic treatment of onychomycosis. Br J Dermatol 1999; 140: 778–80. Epstein E. How often does oral treatment of toenail onychomycosis produce a disease-free nail? An analysis of published data. Arch Dermatol 1998; 134: 1551–4. Gianni C, Romano C. Clinical and histological aspects of toenail onychomycosis caused by Aspergillus spp: 34 cases treated with weekly intermittent terbinafine.

3. Imiquimod is a local inducer of cytokine, especially interferon-α . It is used in the form of a 5% cream, at bedtime and should be kept topically for 6–10 hours and then washed off. Topical imiquimod achieves a complete resolution of 80% of subungual and periungual warts, after a mean time of 3 weeks. This is an “off-label” use, as it is approved for genital warts, actinic keratosis, and BCC. 4. Topical acid dibutylether or diphenylcyclopropenone used once a week is effective in the treatment of resistant warts.

The cause of the yellow color in LP is unknown, but it is speculated that it is due to the relatively poor lymphatic circulation in the lower limbs. Nail LP in children is not rare but probably underestimated (10% of all cases). It mostly affects men. It often presents with atypical clinical features such as 20-nail dystrophy or idiopathic rough nails (Fig. 2). Skin or mucosal involvement is rarer in children (15%) than in adults with nail LP (25%). Dorsal pterygium formation is rare in children.

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