tag:blogger.com,1999:blog-9870114.post114270653824968033..comments2024-03-10T08:41:32.400+00:00Comments on VIRTUAL GRAND ROUNDS IN DERMATOLOGY 2.0: “NAILING DOWN A DIAGNOSIS”Humane Medicine Huihttp://www.blogger.com/profile/07113291188306363130noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-9870114.post-1142965577573887932006-03-21T18:26:00.000+00:002006-03-21T18:26:00.000+00:00The possibility of onychomycosis should be serious...The possibility of onychomycosis should be seriously excluded by KOH test and culture.What is the value of using griseofulvin for one month only?.Could be nail lichen planus?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-9870114.post-1142805258736876922006-03-19T21:54:00.000+00:002006-03-19T21:54:00.000+00:00I do not think this vascular in origin.It is conta...I do not think this vascular in origin.It is contact dermatitis with fissuring of the fingers of the left hand only with related nails deformity.There some incriminated allergens like wearing golf gloves on the left hand in summer time will initiate dermatitis in early winter.patch testing is essential confirmatory test.Management is by exclusion the allergen plus clobetasole ointment.<BR/><BR/>khalifa sharquieksharquiehttps://www.blogger.com/profile/05470356253323679747noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-1142780388521991162006-03-19T14:59:00.000+00:002006-03-19T14:59:00.000+00:00Agree with above comments re neurovascular comprom...Agree with above comments re neurovascular compromise. Also, any symptoms of Raynaud's? Any periungual nailfold vascular abnormalities grossly or at 10x magnification?<BR/>-Rick SontheimerAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-9870114.post-1142746994634626922006-03-19T05:43:00.000+00:002006-03-19T05:43:00.000+00:00As far as i can see in the first photo, the color ...As far as i can see in the first photo, the color of the mentioned fingers of the left hand are different from the rest and looks to be mildly cyanotic. Therefore, it seems that the nail changes are secondary to an underlying asymmetical neurovascular disease. Work up should be oriented to find this primary disease. cheers, omidAnonymousnoreply@blogger.com