A Study on Pattern of Nail Changes in Geriatric Population
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 8
Abstract
Background: No cutaneous examination is complete without a careful evaluation of nails. Nail changesare common in the elderly and include changes in color, contour, growth, surface and thickness. Aim of the study was to identify nail changes due to various dermatologic or systemic disorders in the geriatric age group. Material and Methods: A total of 100 elderly patients aged more than 60 years with nail changes were included in the study from at tertiary care hospital. In suspected case of fungal infection, KOH (potassium hydroxide) mount of the nail clippings and nail biopsy done, whenever indicated. Results: The commonest nail change seen was onychorrhexis (97%). Other nail changes, in decreasing order, were altered contour (95%), alunula (93%), dark / dull opaque nails (91%), ragged cuticle (88%), slowing of nail growth rate (87%), thickened nail plate (69%), onycholysis (68%), subungual hyperkeratosis (62%), chromonychia (58%), ragged nail folds (45%), pitting (24%), Beau's lines (23%), onychoschizia (18%), brittle nails (18%), clubbing (17%), smooth shiny nails (13%), thinning of nail plate (9%), paronychia (6%), onychoptosis (5%), pterygium unguis (5%), onychomycosis (3%), brachyonychia (3%), longitudinal splitting (2%), subungual hematoma, plat forming of nail plate and powdery white patch on the nail (1% each). Conclusion: Careful examination of nail is very important, especially so in elderly. The nail changes may be a marker for many dermatological as well as systemic disorders.
Authors and Affiliations
Kishor Singh
Keywords
Related Articles
- EP ID EP528900
- DOI -
- Views 51
- Downloads 0
Hydroxychloroquine Induced Toxicity Presenting As Bulls Eye Maculopathy: A Case Report
Hydroxychloroquine is a common medication used for rheumatological inflammatory conditions. Retinal toxicity from hydroxychloroquine is rare and irreversible. We present a case of a 38 year old women , diagnosed case of...
Laser Surgery for ENT Procedures: our Experience
Background and Aims: Smooth and safe general anaesthesia in compromised airway with abnormal anatomy, sharing of airway with surgeon, avoidance of potential laser hazards, prevention of awareness, wide awake patient afte...
Oral Lichen Planus- Clinical and Psychological Stress Profile- A Preliminary Study
Background: Oral lichen planus is a common, chronic autoimmune mucocutaneous disease which can affect oral mucosa with varying presentation from keratotic to erosive, ulcerative or bullous lesions. Factors such as stress...
A Baffling “Trilogy” --- Mediastinal Teratoma, Pulmonary Hamartoma and Hilar Granulomatous Lymphadenitis in a Single Patient: Unaccountable in Medical History
Mediastinal teratomas are the most common extra-gonadal germ cell tumours. They arise from ectopic pluripotent stem cells that fail to migrate from yolk endoderm to the gonad. They occur equally in men and women and usua...
Role of Different Angles of Scapula: its Kinesiometrics Muscle morphology and clinical significance
Introduction: Evolution resulting in acquisition of bipedal gait has led the human beings to gain free upper limb movement. The scapula hence provides a strong and stable attachment for muscle activity around the scapula...