Meher Susanta, Mishra Tushar Subhadarshan, Sasmal Prakash Kumar, Rout Bikram, Sharma Rakesh
Senior Resident, Department of Surgery, AIIMS , Bhubaneswar, Odisha, India .
Associate Professor, Department of Surgery, AIIMS , Bhubaneswar, Odisha, India .
J Clin Diagn Res. 2016 Nov;10(11):PD01-PD02. doi: 10.7860/JCDR/2016/20241.8770. Epub 2016 Nov 1.
Ectopic nail or Onychoheterotopia is an uncommon clinical entity. They are usually congenital; the acquired variety is very rare. The exact pathogenesis of the disease is not clear. They present as a nail like outgrowth, distinct from the classic nail units which is usually asymptomatic. The dorsal aspect of fingers and toes are mostly affected. We present a case of a 24-year-old male with post-traumatic ectopic nail of right middle finger. Complete surgical excision of the ectopic nail was done with its germinal matrix. The patient didn't have any evidence of recurrence after one year of follow-up, with satisfactory cosmetic outcome. This article highlights the classic presentation of a case of ectopic nail with its surgical management and brief review of literature.
异位甲或甲异位是一种不常见的临床病症。它们通常是先天性的;后天性的类型非常罕见。该疾病的确切发病机制尚不清楚。它们表现为类似指甲的赘生物,与通常无症状的典型甲单位不同。手指和脚趾的背侧最常受累。我们报告一例24岁男性右手中指创伤后异位甲的病例。对异位甲及其生发基质进行了完整的手术切除。随访一年后,患者没有任何复发迹象,美容效果令人满意。本文重点介绍了一例异位甲的典型表现及其手术治疗方法,并对相关文献进行了简要回顾。