Derm Dx Small Annular Plaques On The Legs Clinical Advisor The cuticles are often hyperkeratotic, and therefore appear thickened. trachyonychia is mostly asymptomatic and patients complain only of brittleness of the fingernails and the cosmetic appearance. Explanation: a 45 year old man presents to the dermatology clinic requesting treatment for disfigured fingernails. the condition began on his toenails approximately 5 years ago and then appeared.
Derm Dx Furrows And Thickened Skin On The Posterior Neck Clinical In this case, the patient also had thickened yellowish dystrophic toenails with subungual debris, clinically indicative of tinea unguinum. he was treated with 12 weeks of oral terbinafine for. Nail dystrophy case #1. a man aged 55 years presented with a several year history of dystrophic, somewhat yellowed toenails (particularly affecting both great toes). he was mildly obese and took atorvastatin (lipitor) for treatment of high cholesterol. his nails and the surrounding skin did not itch, burn, or hurt. Yellow nail syndrome (courtesy of dr. philip fleckman) slow or arrested growth is the most characteristic feature. affected fingernails grow less than 1mm per month. in contrast, normal fingernails and toenails grow at 3mm per month and 1mm per month, respectively. both of these estimates decline with age. Thick toenails have a variety of causes, including advanced age, nail fungus, and psoriasis. they are rarely a major health problem but can cause discomfort. sometimes, they can be a sign of a condition that needs treatment. properly fitting shoes and good foot hygiene will go a long way in preventing and fixing thick toenails.
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