Schubert B, Minard J J, Baran R, Verret J L, Schnitzler L
Ann Dermatol Venereol. 1977 Oct;104(10):627-30.
Particular nail damage appeared in patients working on mushroom beds. In five cases, all similar, the recent use of plastic bags containing the growing medium, seems to be the origin of this onychopathy. Onycholysis with latero-distal "usure des ongles", koilonychia, longitudinal splitting with sometimes splinter haemorrhages are the most specific changes. Chemical damage by phytosanitary products or fungi infection have no significant part in these abnormalities; their cause is traumatic, representing occupational stigmata mark, and results from repeated rubbing of the nails in workers lifting up heavy plastic bags.
在蘑菇种植床上工作的患者出现了特定的指甲损伤。在五例情况相似的病例中，最近使用含有培养基的塑料袋似乎是这种甲病的病因。甲剥离伴远端外侧“指甲磨损”、匙状甲、纵向裂开有时伴有甲下出血是最具特征性的变化。植物检疫产品造成的化学损伤或真菌感染在这些异常情况中不起重要作用；其病因是创伤性的，是职业性的标志，是工人在提起沉重塑料袋时指甲反复摩擦所致。
