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迟发性皮肤卟啉病患者远端瘢痕化甲母质切除术后甲床再生

Nail Bed Regeneration by Excision of Distal Scarred Matrix in a Patient with Porphyria Cutanea Tarda.

作者信息

Yakaback Spencer K J, Wu Mofei A, St Denis-Katz Hannah N, Knox Aaron D C

机构信息

From the University of Calgary, Cumming School of Medicine, Calgary Alberta.

University of Ottawa, Department of Surgery, Section of Plastic Surgery, Ottawa, Ontario.

出版信息

Plast Reconstr Surg Glob Open. 2024 Aug 28;12(8):e6110. doi: 10.1097/GOX.0000000000006110. eCollection 2024 Aug.

DOI:10.1097/GOX.0000000000006110
PMID:39206207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11357695/
Abstract

Onycholysis secondary to nail bed scarring can be a challenging problem for hand surgeons, given the relatively few techniques available for nail bed lengthening. Here, we present the case of a patient with upper extremity onycholysis, secondary to porphyria cutanea tarda. We used a technique first described by Lemperle et al in 2003 to successfully lengthen the nail bed and improve the appearance of the nail plate. This involved full-thickness excision of a crescent-shaped wedge of the distal nail bed in all five right sided digits in a single operation. We found this technique to be simple and effective, meeting our patient's goals after just one excision.

摘要

由于可用于甲床延长的技术相对较少,继发于甲床瘢痕形成的甲剥离对手外科医生来说可能是一个具有挑战性的问题。在此,我们报告一例迟发性皮肤卟啉病继发上肢甲剥离的患者。我们采用了Lemperle等人于2003年首次描述的一种技术,成功延长了甲床并改善了甲板外观。这包括在一次手术中对右侧所有五个手指的远端甲床进行新月形楔形全层切除。我们发现该技术简单有效,仅一次切除后就达到了我们患者的目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/ac20b0d676eb/gox-12-e6110-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/d4a02ccf0364/gox-12-e6110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/fd982f4fb296/gox-12-e6110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/291a3177884b/gox-12-e6110-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/ac20b0d676eb/gox-12-e6110-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/d4a02ccf0364/gox-12-e6110-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/fd982f4fb296/gox-12-e6110-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/291a3177884b/gox-12-e6110-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4135/11357695/ac20b0d676eb/gox-12-e6110-g004.jpg

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