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Tumors of the nails<\/span> Nail disorders are a common reason for a dermatologic consultation. Nail disorders can arise at any age. About half of all nail disorders are of infectious origin, 15% are due to inflammatory or metabolic conditions, and 5% are due to malignancies and pigment disturbances. The differential diagnosis of nail disorders is often an area of uncertainty. 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Authors: Andreea Dimitriu, Laura Elena Paviliu<\/span><\/p>\n
\nThe nail unit is a very vascular structure, which is a very common site for many tumors. Nail unit tumors are frequently misdiagnosed or diagnosed at a later stage because the nail plate can cover any underlying lesion\/ tumor simulating an inflammatory or infectious disease.
\nThe nail unit tumors can be classified as benign (fibroma, onychomatricoma, digital myxoid cyst, pyogenic granuloma, glomus tumor, subungual exostosis, onychopapilloma, nail matrix nevi), malignant (Bowen\u2019s disease, squamous cell carcinoma, melanoma) or metastatic. Usually, there is involvement of a single digit.
\nSigns of nail tumors may be due to the presence of a mass and to the damage to the nail components. Symptoms may or not be present. Subungual exostoses and mucoid pseudocysts can cause nail deformities. Painful types of nail tumor include glomus tumor. The proximal nail fold is a typical localization of digital myxoid cyst, which arises from the distal interphalangeal joint capsule. Some of these tumors are unique to the nail, such as onychomatricoma. Melanocytic lesions of the nail unit are traditionally classified as follows: melanocytic activation (hypermelanosis), lentigo, nevi, and melanoma.
\nAs a general rule, benign lesions respect the general architecture of the nail apparatus, whereas malignant ones are destructive.
\nA thorough inspection of the finger-nails and toenails during the physical examination may reveal localized nail abnormalities that should be treated.<\/p>\n
Tel.: +40 332.40.88.05<\/span>
E-mail: inscrieri@primaderma.ro<\/a>
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