Stephen Sasha, Tosti Antonella, Rubin Adam I
Department of Dermatology, Hospital of the University of Pennsylvania, 3600 Spruce Street, 2 Maloney, Philadelphia, PA 19104, USA.
Department of Dermatology and Cutaneous Surgery, Miller School of Medicine, University of Miami, 1600 Northwest 10th Avenue, RMSB 2023A, Locator Code R-250 Miami, FL 33136, USA.
Dermatol Clin. 2015 Apr;33(2):289-301. doi: 10.1016/j.det.2014.12.011. Epub 2015 Feb 24.
"Nail clipping is a simple technique for diagnosis of several nail unit dermatoses. This article summarizes the practical approach, utility, and histologic findings of a nail clipping in evaluation of onychomycosis, nail unit psoriasis, onychomatricoma, subungual hematoma, melanonychia, and nail cosmetics, and the forensic applications of this easily obtained specimen. It reviews important considerations in optimizing specimen collection, processing methods, and efficacy of special stains in several clinical contexts. Readers will develop a greater understanding and ease of application of this indispensable procedure in assessing nail unit dermatoses."
剪取指甲是诊断多种甲单位皮肤病的一种简单技术。本文总结了剪取指甲在评估甲癣、甲单位银屑病、甲母质瘤、甲下血肿、甲黑线和指甲美容方面的实用方法、用途及组织学发现,以及这种易于获取的标本的法医应用。它回顾了在几种临床情况下优化标本采集、处理方法和特殊染色效果的重要注意事项。读者将对这一在评估甲单位皮肤病中不可或缺的程序有更深入的理解并更易于应用。