皮肤镜在指甲疾病评估中的应用
Dermoscopy in the Evaluation of Nail Disorders.
作者信息
Alessandrini Aurora, Starace Michela, Piraccini Bianca Maria
机构信息
Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Bologna, Italy.
出版信息
Skin Appendage Disord. 2017 May;3(2):70-82. doi: 10.1159/000458728. Epub 2017 Mar 8.
Abstract
Nail dermoscopy was initially used only in the assessment of nail pigmentation, but now it is widely utilized for the evaluation of many nail disorders. In daily practice, dermoscopy may confirm clinical diagnoses and guides in the management of nail diseases and treatments, permitting a better visualization of symptoms. Dry dermoscopy is required for evaluation of the nail plate surface, while gel as an interface is necessary for assessment of nail pigmentation and onycholysis, as well as for the evaluation of the distal nail margin. In this review, we describe the dermoscopic features of the most important nail disorders, looking at the different areas of the nail. Dermatoscopic changes that usually accompany specific nail diseases are also reviewed.
摘要
甲皮肤镜最初仅用于评估甲色素沉着，但现在它被广泛用于评估多种甲疾病。在日常实践中，皮肤镜可证实临床诊断，并指导甲疾病的管理和治疗，使症状能得到更好的观察。评估甲板表面需要干式皮肤镜，而凝胶作为界面对于评估甲色素沉着、甲分离以及远端甲边缘是必要的。在本综述中，我们描述了最重要的甲疾病的皮肤镜特征，观察甲的不同区域。还综述了通常伴随特定甲疾病的皮肤镜变化。
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