Richert B
Service de dermatologie, CHU centre ville 45, quai Kurth 4020 Liège Belgique.
Rev Prat. 2000 Dec 15;50(20):2231-5.
The nail unit may reflect a dermatological disease by its own. Actually, its involvement may account for the existence of a skin disease that never showed before (i.e. lichen planus). But since the nail apparatus has a limited repertoire of clinical expressions (hyperkeratosis, onycholysis, paronychia...), the diagnosis may be sometimes difficult even for the most trained physician. Nail involvement may be however an additional clue in the diagnosis of an atypical skin disease. In that case, it might help in the final correct diagnosis provided that the physician did not forget that clinical examination of the nails is part of a dermatological examination.
指甲单元自身可能反映出一种皮肤病。实际上,其受累情况可能是之前从未出现过的皮肤病(如扁平苔藓)存在的原因。但由于指甲结构的临床症状表现有限(角化过度、甲剥离、甲沟炎……),即使是经验最丰富的医生有时也难以做出诊断。然而,指甲受累可能是诊断非典型皮肤病的一个额外线索。在这种情况下,如果医生不忘记对指甲的临床检查是皮肤科检查的一部分,那么它可能有助于最终做出正确诊断。