Aoki Kawaiola Cael, Wong Summer, Bartos Simona
Dr. Kiran C. Patel College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.
Department of Dermatology, Imperial Dermatology, Hollywood, USA.
Cureus. 2024 Feb 27;16(2):e55085. doi: 10.7759/cureus.55085. eCollection 2024 Feb.
Nail abnormalities, or onychodystrophy, can be caused by various pathologies, including fungal and nonfungal infections. These can result in difficulties with nail trimming, pain, and social discomfort that can significantly impact a patient's quality of life. Even experienced physicians may find it challenging to diagnose due to the lack of specificity in these changes. We present the case of a 60-year-old female who was initially diagnosed with onychodystrophy but was later found to have subungual verruca vulgaris after a nail avulsion and biopsy. This case highlights the importance of thorough diagnostic procedures and considering a broad range of differential diagnoses. We also discuss the challenges of treating subungual warts and the need for a precise therapeutic approach to ensure the best possible outcomes.
指甲异常，即甲营养不良，可由多种病理状况引起，包括真菌和非真菌感染。这些情况可导致修剪指甲困难、疼痛以及社交不适，会显著影响患者的生活质量。由于这些变化缺乏特异性，即使是经验丰富的医生也可能觉得诊断具有挑战性。我们报告一例60岁女性病例，该患者最初被诊断为甲营养不良，但在拔甲和活检后，后来被发现患有寻常疣状甲下疣。该病例凸显了全面诊断程序以及考虑广泛鉴别诊断的重要性。我们还讨论了治疗甲下疣的挑战以及采用精确治疗方法以确保获得最佳结果的必要性。
