Seo Takashi, Shiiya Chihiro, Kosumi Hideyuki, Muramatsu Ken, Ujiie Hideyuki
Dermatology, Hokkaido University Hospital, Sapporo, JPN.
Cureus. 2025 Feb 14;17(2):e79018. doi: 10.7759/cureus.79018. eCollection 2025 Feb.
Ingrown nails are a common condition, typically affecting the great toe, and are classified into lateral ingrown nails, retronychia, and distal nail embedding (DNE). DNE occurs when the nail plate's distal edge embeds into the nail fold, often following onycholysis or nail avulsion, with hypertrophy of the hyponychium obstructing nail growth. This condition causes nail discoloration, thickening, and pain, requiring treatment to restore proper nail growth. While surgical and conservative treatments are available, conservative approaches such as taping are more accessible but can be hindered by sweat or exudate. The slit-tape strap taping method, originally designed for pincer and lateral ingrown nails, provides superior adherence and longitudinal tension. We report a successful case of this method applied to a 22-year-old woman with DNE, resulting in full resolution of the condition and improvement in nail thickening after 17 months. This case highlights the slit-tape strap taping method as an easy-to-apply, noninvasive, and effective treatment for DNE.
嵌甲是一种常见病症，通常累及大脚趾，可分为外侧嵌甲、逆行甲床增生和远端甲嵌入（DNE）。当甲板远端边缘嵌入甲襞时，就会发生DNE，通常发生在甲剥离或甲撕脱之后，甲下皮肥厚阻碍指甲生长。这种情况会导致指甲变色、增厚和疼痛，需要治疗以恢复指甲正常生长。虽然有手术和保守治疗方法，但诸如贴胶带等保守方法更容易实施，但可能会因出汗或渗出物而受到影响。狭缝胶带绑扎法最初是为钳形和外侧嵌甲设计的，具有更好的附着力和纵向张力。我们报告了该方法成功应用于一名22岁DNE女性患者的病例，17个月后病情完全缓解，指甲增厚情况改善。该病例突出了狭缝胶带绑扎法作为一种易于应用、无创且有效的DNE治疗方法。
