Ippolito E, Falez F, Tudisco C, Balus L, Fazio M, Morrone A
Department of Pathology of the Locomotor Apparatus, University of Reggio Calabria.
Ital J Orthop Traumatol. 1987 Mar;13(1):81-7.
The authors review 30 cases of subungual exostosis, 27 in the foot and 3 in the hand. In approximately 80% of the cases, errors in initial diagnosis had been made, and the affection had been confused with ordinary verrucae, mycoses or pyogenic disease. Histological examination showed that in some cases the neoformation ossified by an enchondral mechanism similar to that of osteocartilaginous exostosis, while more often the mechanism was of the intramembranous or mixed type. The treatment consisted of resection of the exostosis at its base after removing the nail. Complete healing occurred in all cases.
作者回顾了30例甲下外生骨疣病例，其中27例位于足部，3例位于手部。在大约80%的病例中，最初诊断有误，病情被误诊为普通疣、霉菌病或化脓性疾病。组织学检查显示，在某些病例中，新生物通过与骨软骨外生骨疣相似的软骨内机制骨化，而更常见的是膜内或混合型机制。治疗方法是在拔除指甲后，于骨疣基部进行切除。所有病例均完全愈合。
