Please login or create an account. If you do not have access to this content, you will be shown a 30 second preview and licensing options.
- Presentation
Focus on Onychoscopy
Description
Doctor Strache presented on benign nail tumors, highlighting the significance of onychoscopy in diagnosing these conditions. Different types of tumors can appear at various locations on the nail unit, affecting their clinical appearance and onychoscopic features. He emphasized the importance of thorough examination, including inspection of the nail plate, free margin, and subungual areas, to identify specific signs associated with various tumors. Strache detailed conditions such as mucoid cysts, fibrokeratoma, and glomus tumors, describing their distinct characteristics and clinical presentations. He illustrated how alterations in the nail structure, color changes, and the presence of nodules or hemorrhages can inform diagnoses. Different management strategies were discussed, including surgical intervention and the potential for steroid treatments, based on the lesions' nature and severity. The session underscored the utility of onychoscopy in assessing nail tumors, promoting a comprehensive approach to diagnosis and treatment.
View moreConclusions
- Benign nail tumors exhibit distinct clinical and onychoscopic features that aid in diagnosis.
- Onychoscopy is a critical tool for evaluating nail tumors, providing insights into their characteristics and appropriate management strategies.
- Specific alterations in the nail unit's appearance correlate with different types of benign tumors, such as fibrokeratomas, onychopapillomas, and mucoid cysts.
- Lesions like myxoid pseudocysts require careful observation for accurate diagnosis and can affect the nail matrix, leading to specific nail plate changes.
- Surgical removal may be indicated based on the type of benign tumor, particularly when associated with pain or significant alteration to the nail structure.
- Recognizing features such as splinter hemorrhages and color abnormalities can differentiate between various types of benign nail tumors.
- The malignant variants of these tumors, although rare, necessitate prompt detection due to potential changes in their clinical presentation.
- Starace M, Rubin Al, Di Chiacchio NG, Pampaloni F, Alessandrini A, Piraccini BM, lorizzo M. Diagnosis and surgical treatment of benign nail unit tumors. J Dtsch Dermatol Ges. 2023 Feb;21(2):116-129.
- Domínguez-Cherit J, Rosales-Sotomayor A. The 'Waves Sign' in Digital Myxoid Pseudocyst. Skin Appendage Disord. 2024 Jun;10(3):243-245.
- Chae et al. J Dermatol. 2017; 44: 1309-1312.
- Sechi A, Starace M, Piraccini BM, Wortsman X. J Ultrasound Med. 2024 Jan;43(1):71-76.
- Starace M, Rapparini L, Quadrelli F, Cedirian S, Pampaloni F, Piraccini BM. When onychoscopy makes the difference in a longitudinal furrow on the nail plate: Myxoid pseudocyst versus ungual fibrokeratoma. J Eur Acad Dermatol Venereol. 2024 Mar 9.
- Ginoux E et al. Intraoperative dermoscopy features of onychomatricoma: a review of 10 cases. Clin Exp Dermatol 2017; 42: 395-99.
- Tosti et al. J Am Acad Dermatol. 2016; 74: 521-6.
- Cinotti E, Veronesi G, Labeille B, Cambarazard F, Piraccini BM, Dika E, Perrot JL, Rubegni P. Imaging technique for the diagnosis of onychomatricoma. JEADV 2018; 32: 1874-8.
- Zaballos et al. Dermoscopic findings in pyogenic granuloma. BJD 2006;154:1108-11.
- Piccolo et al. Dermatology. 2017; 233: 80-85.
- Rubin Al, Lee D, Baran R. Malignant onychopapilloma: a new nail unit clinicopathologic entity. J Cutan Pathol. 2021;48(3):347-8.