Review and Therapeutic Approach to Malalignment of the Great Toenails: A Common Condition That Is Uncommonly Diagnosed.

IF 2.5 3区医学 Q2 DERMATOLOGY Dermatologic Surgery Pub Date : 2024-08-13 DOI:10.1097/DSS.0000000000004367

Julia O Baltz, Hannah J Porter, Bertrand Richert, Nathaniel J Jellinek

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Abstract

Background: Malalignment of the great toenails is a common nail disorder that is uncommonly recognized in general practice.

Objective: Review available literature on lateral malalignment of the great toenails to increase awareness of this underdiagnosed condition and provide management recommendations.

Methods: A PubMed search was conducted using the terms "congenital malalignment toenail" and "malalignment great toenail". All articles were reviewed, and all relevant articles were included in this analysis.

Results: Thirty-four distinct articles encompassing 117 patients with similar clinical findings: lateral deviation of the great toenails with yellow brown dyschromia, thickening, and scalloping.

Limitations: Description of malalignment and terminology can vary, which may have led to exclusion of some relevant articles.

Conclusion: Lateral malalignment is a common nail condition that is underappreciated and often misdiagnosed in general dermatologic and medical practice. This review aims to increase awareness to facilitate better care of these patients.

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大脚趾甲错位的回顾与治疗方法：诊断不常见的常见病。

背景：大趾甲错位是一种常见的指甲疾病，但在全科诊疗中却很少被发现：回顾有关大趾甲外侧错位的现有文献，以提高人们对这种诊断不足的疾病的认识，并提供治疗建议：方法：使用 "先天性趾甲错位 "和 "大趾甲错位 "这两个词在 PubMed 上进行搜索。对所有文章进行了审查，并将所有相关文章纳入本次分析：34篇不同的文章涵盖了117名临床表现相似的患者：大趾甲侧向偏斜，伴有黄褐色肤色异常、增厚和扇形：局限性：对错位的描述和术语可能有所不同，这可能导致一些相关文章被排除在外：外侧错位是一种常见的指甲疾病，在普通皮肤科和医疗实践中未得到充分重视，并经常被误诊。本综述旨在提高人们的认识，以便更好地护理这些患者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.