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Retronychia: an underdiagnosed disease

机译:逆流:未被充分诊断的疾病

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Retronychia is a recently described cause of ingrowth of the nail plate on the ventral surface of the proximal nail fold. Clinical features are repeated episodes of proximal paronychia, nail plate thickening, and occasionally granulation tissue emergence. The usual treatments for paronychia such as antibiotics and antifungals are ineffective in these cases. Avulsion of the nail plate is the treatment of choice for these patients, but effective treatment is usually delayed owing to inadequate diagnosis. Herein, we describe a 28-year-old woman with a case of retronychia. She was treated for two months with oral and topical antifungal and antibiotics by her general practitioner. After proper diagnosis and avulsion of the nail she presented a normal and non-painful growth of the affected nail.
机译:逆流是最近描述的钉板在近端指甲折叠的腹侧表面上向内生长的原因。临床特征是近端甲沟炎反复发作,指甲板增厚以及偶发肉芽组织。在这些情况下,对甲沟炎的常规治疗(如抗生素和抗真菌药)无效。钉板撕脱是这些患者的首选治疗方法,但是由于诊断不足,通常会​​延迟有效治疗。在此,我们描述了一名28岁的女性,患有一例逆向性出血。她的全科医生为她治疗了两个月的口服和局部抗真菌药和抗生素。经过正确的诊断和指甲的撕脱,她表现出受影响的指甲正常且无疼痛的生长。

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