Plastic & Hand Surgery Associates, PLLC, Flowood, Mississippi 39232, USA.
J Hand Ther. 2010 Apr-Jun;23(2):187-97; quiz 198. doi: 10.1016/j.jht.2009.12.002. Epub 2010 Mar 20.
NARRATIVE REVIEW: The following review discusses the more common disorders of the perionychium and skin likely to be observed by the hand therapist. To assist the therapist in recognition of abnormalities, the anatomy, physiology, and basic function of the normal nail unit are described. Indications of when disorders of the nail, resulting from trauma, infections, and neoplasms, require referral to another practitioner are discussed. Characteristics of abnormal skin conditions are described with an emphasis on differentiating benign from malignant lesions. By knowing the suspicious characteristics of nail and skin disorders, the upper extremity therapist can positively impact the well-being of his or her patients through quick referral, leading to early diagnosis and treatment of potentially serious disease.
叙述性综述：以下综述讨论了手部治疗师更可能观察到的常见甲周和皮肤疾病。为了帮助治疗师识别异常，描述了正常指甲单位的解剖结构、生理学和基本功能。讨论了由于创伤、感染和肿瘤导致指甲出现异常时需要转介给其他医生的情况。描述了异常皮肤状况的特征，重点是区分良性和恶性病变。通过了解指甲和皮肤疾病的可疑特征，上肢治疗师可以通过快速转介积极影响患者的健康，从而早期诊断和治疗潜在的严重疾病。
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