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指甲病变。

Nail pathology.

机构信息

Head of the Dermatology and Dermatopathology Department, University Hospitals Saint-Pierre, 322 Rue Haute - 1000 Brussels, Belgium and University Hospital Brugmann, 4 Place Van Gehuchten - 1020 Brussels, Belgium, Hôpital Universitaire des Enfants Reine Fabiola, 15 Avenue Crocq - 1020 Brussels, Belgium, Université Libre de Bruxelles, Belgium.

出版信息

Clin Dermatol. 2013 Sep-Oct;31(5):526-39. doi: 10.1016/j.clindermatol.2013.06.005.

Abstract

When dealing with nails, pathologic examination is often indispensable to reach an accurate diagnosis. This requires a biopsy correctly performed by the dermatologist, a specimen correctly handled in the pathology lab, and a pathologist with good knowledge of the various nail conditions. The normal nail histology is first described in this paper. The pathologic aspects of melanocytic lesions, nonmelanocytic tumors of the nail apparatus, inflammatory nail conditions, and onychomycosis are then considered, together with their main differential diagnoses.

摘要

在处理指甲问题时,病理检查通常是做出准确诊断不可或缺的手段。这需要皮肤科医生正确进行活检,病理实验室正确处理标本,以及对各种指甲疾病有丰富知识的病理学家。本文首先描述了正常指甲的组织学。然后考虑了黑素细胞病变、甲附属器的非黑素细胞肿瘤、炎症性指甲疾病和甲真菌病的病理方面,并讨论了它们的主要鉴别诊断。

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