? ONYCHOMYCOSIS WITH.. PARONYCHIA .. AND .. ASSOCIATED NAIL CHANGES..
? Vasculitis or ? Tinea unguium
Kindly check blood sugars Even if no history of diabetes
Onychomycosis ,with chronic candidial paronychia Oral and topical antifungals.
Kolinaechia is suggestive of under nutrition iron deficiency anaemia you said sr ferritin is normal that means saturation index looks to be not 15% Adv TIBC and free iron Discoloration and periungal swelling needs to examine the other system Spo2 and r/o chf Cracks on tip of toes suggest ppkd
Fungal infection to rule out.
Chronic fungal infection - Onychomycosis + Paronychia
Chronic paronychia.involvement of the nail with inflammation at the nail bed.mostly of fungal aetiology.oral Itraconazole and topical application of luliconazole is advisable.
Skin fissures at 2nd and 3rd toes Rule out iron deficiency anemia
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A woman presented in the opd with discoloration And flattening of the nails of the right. According to her it started a month ago. No other complaint beside that. No abnormality detected on physical examination. Pulse and blood pressure normal bilaterally. D/Ds?Dr. Satyendra Kaur1 Like32 Answers
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ABC OF : NAIL DISORDERS. ( I ). MAY BE USEFUL. *** ANONYCHIA is the absence of nails, an anomaly, which may be the result of a congenital ectodermal defect, ichthyosis, severe infection, severe allergic contact dermatitis, self-inflicted trauma, Raynaud phenomenon, lichen planus, epidermolysis bullosa, or severe exfoliative diseases....... *** PSORIASIS can also affect the fingernails and toenails, leading to thick fingernails with pitting, ridges in the nails, nail lifting away from the nail bed, and irregular contour of the nail....... *** LICHEN PLANUS of the nails can cause brittle or split nails, and the affected nails may have ridges running lengthwise....... *** FUNGAL nail infections are common infections of the fingernails or toenails that can cause the nail to become discolored, thick, and more likely to crack and break. Infections are more common in toenails than fingernails.....by some dermatophytes, Candida (Monilia) species, etc....... The technical name for a fungal nail infection is “ONYCHOMYCOSIS.”....... *** SPOON-SHAPED or spooning fingernails refers to a concavity in the fingernail itself, resulting in a depression in the nail that gives an appearance of a spoon shape to the entire nail. This growth disturbance in the nail is known as KOILONYCHIA....... In particular, koilonychias is associated with IRON DEFICIENCY. *** Fingernails are made by living skin cells....... So a skin condition such as eczema may lead to fingernail ridges. Skin dryness can also cause these ridges. If the body is low in protein, calcium, zinc.......or vitamin A, a deficiency can sometimes be revealed by ridges in the fingernails. ** HORIZONTAL RIDGES run from side to side on nails and are often referred to as BEAU'S LINES may be a sign of previous injury, underlying health conditions, or in rare cases, arsenic poisoning....... Horizontal ridges can be caused by trauma to the nail and may be deep or discolored. The can also indicate malnutrition, psoriasis or a thyroid problem....... ** VERTICAL RIDGES are usually harmless and a consequence of ageing.......nail injury, or trauma, or underlying medical conditions....... *** The ECTODERMAL DYSPLASIAS (EDs) are genetic disorders affecting the development or function of the teeth, hair, nails and sweat glands....... ** ED is not a single disorder, but a group of closely related conditions of which more than 150 different syndromes have been identified....... *** Nail CLUBBING, also known as digital clubbing, is a deformity of the finger or toe nails associated with a number of diseases, mostly of the heart and lungs. ... Hippocrates was probably the first to document clubbing as a sign of disease, and the phenomenon is therefore occasionally called "Hippocratic fingers"..... ** Lung cancer is the most common cause of clubbing. Clubbing often occurs in heart and lung diseases that reduce the amount of oxygen in the blood. ... Heart defects that are present at birth (congenital) Chronic lung infections that occur in people with bronchiectasis, cystic fibrosis, or lung abscess....... *** While the NAIL BITING and picking seems to be such a common problem, the psychological and medical research does not agree on the exact motivation for the action. However, it suggests that nail biting can be the result of STRESS, VARIOUS MEDICAL DISORDERS, LEARNED BEHAVIORS, OR JUST PLAIN HABIT....... *** SPLINTER HEMORRHAGES : They run in the direction of nail growth. They are named splinter hemorrhages because they look like a splinter under the fingernail. The hemorrhages may be caused by tiny clots that damage the small capillaries under the nails. Splinter hemorrhages can occur with infection of the heart valves (endocarditis)....... *** YELLOW TOENAILS in an infection by a fungus that attacks the nails..... or, in some cases, they may be a sign of skin cancer. The fungal infection is caused most often by dermatophytes, which eat keratin to grow....... One of the MOST COMMON CAUSES of YELLOW NAILS is a FUNGAL INFECTION. As the infection worsens, the nail bed may retract, and nails may thicken and crumble. In rare cases, yellow nails can indicate a more serious condition such as SEVERE THYROID DISEASE, LUNG DISEASE, DIABETES or PSORIASIS....... *** WHILE NAILS ( LEUKONYCHIA ) : CAUSES : Iron deficiency anemia. Cirrhosis of liver. Kidney disease. Heart failure. Diabetes. Problems with the digestion of proteins. An excessive loss of proteins in the intestines. zinc deficiency........etc....... *** RED NAILS :- CAUSES : LUPUS patients get quirky, angular blood vessels in their nail folds. PSORIASIS starts in the nails up to 10 percent of the time and CAUSES SPLITTING and PITTING of the nail bed. HEART DISEASE can turn the nail beds red....... ** If the NAIL BED is RED, it could be caused by a high content of fatty acids and cholesterol, due to an excess of dairy products, sugar and salt in the diet. This can lead to an underactive liver and blocked arteries....... To keep the system healthy by replacing refined foods with wholegrain rice and bread, and flush out the system with plenty of fresh vegetables and at least five glasses of water a day....... *** HALF PINK and HALF WHITE nails can be a sign of kidney disease....... *** BRITTLE NAILS :- CAUSES : AGING. CHEMICAL/TOXIN EXPOSURE. LONG-TERM USE OF NAIL POLISH AND POLISH REMOVE. LOW HUMIDITY ENVIRONMENT. MALNUTRITION. NAIL-PATELLA SYNDROME. PROLONGED EXPOSURE TO WATER. TRAUMA. ** B complex vitamins (especially biotin), calcium, and zinc have all been implicated. There are other medical conditions which can cause brittle nails such as ANEMIA (low blood count), THYROID DISORDERS, and skin disorders such as LICHEN PLANUS and PSORIASIS. ** ONYCHOSCHIZIA includes splitting, brittle, soft or thin nails. Onychoschizia is MORE COMMON IN WOMEN. Only VERY RARELY are INTERNAL DISEASE or VITAMIN DEFICIENCIES the reason (IRON DEFICIENCY is the MOST COMMON).......Dr. Puranjoy Saha52 Likes44 Answers
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young female with white nails Differential DiagnosisNeki Yadav6 Likes35 Answers
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Friends today I am discussing about Nail Abnormalities. What are nail abnormalities? Healthy nails appear smooth and have consistent coloring. As you age, you may develop vertical ridges, or your nails may be a bit more brittle. This is harmless. Spots due to injury should grow out with the nail. Abnormalities — such as spots, discoloration, and nail separation — can result from injuries to the fingers and hands, viral warts (periungual warts), infections (onychomycosis), and some medications, such as those used for chemotherapy. Certain medical conditions can also change the appearance of your fingernails. However, these changes can be difficult to interpret. Your fingernails’ appearance alone isn’t enough to diagnose a specific illness. A doctor will use this information, along with your other symptoms and a physical exam, to make a diagnosis. Abnormalities of the fingernail Some changes in your nails are due to medical conditions that need attention. See your doctor if you have any of these symptoms: discoloration (dark streaks, white streaks, or changes in nail color) changes in nail shape (curling or clubbing) changes in nail thickness (thickening or thinning) nails that become brittle nails that are pitted bleeding around nails swelling or redness around nails pain around nails a nail separating from the skin These nail changes can be caused by a variety of different conditions, including ones we describe below. Beau’s lines Depressions that run across your fingernail are called Beau’s lines. These can be a sign of malnourishment. Other conditions that cause Beau’s lines are: diseases that cause a high fever such as measles, mumps, and scarlet fever peripheral vascular disease pneumonia uncontrolled diabetes zinc deficiency Clubbing Clubbing is when your nails thicken and curve around your fingertips, a process that generally takes years. This can be the result of low oxygen in the blood and is associated with: cardiovascular diseases inflammatory bowel disease liver diseases pulmonary diseases AIDS Koilonychia (spooning) Koilonychia is when your fingernails have raised ridges and scoop outward, like spoons. It’s also called “spooning.” Sometimes the nail is curved enough to hold a drop of liquid. Spooning can be a sign that you have: iron deficiency anemia heart disease hemochromatosis, a liver disorder that causes too much iron to be absorbed from food lupus erythematosus, an autoimmune disorder that causes inflammation hypothyroidism Raynaud’s disease, a condition that limits your blood circulation Leukonychia (white spots) Nonuniform white spots or lines on the nail are called leukonychia. They’re usually the result of a minor trauma and are harmless in healthy individuals. Sometimes leukonychia is associated with poor health or nutritional deficiencies. Factors can include infectious, metabolic, or systemic diseases as well as certain drugs. Mees’ lines Mees’ lines are transverse white lines. This can be a sign of arsenic poisoning. If you have this symptom, your doctor will take hair or tissue samples to check for arsenic in your body. Onycholysis When the nail plate separates from the nail bed, it causes a white discoloration. This is called onycholysis. This can be due to infection, trauma, or products used on the nails. Other causes for onycholysis include: psoriasis thyroid disease Pitting Pitting refers to small depressions, or little pits, in the nail. It’s common in people who have psoriasis, a skin condition that causes the skin to be dry, red, and irritated. Some systemic diseases can also cause pitting. Terry’s nails When the tip of each nail has a dark band, it’s called Terry’s nails. This is often due to aging, but it can also be caused by: congestive heart failure diabetes liver disease Yellow nail syndrome Yellow nail syndrome is when the nails get thicker and don’t grow as fast as normal. Sometimes the nail lacks a cuticle and may even pull away from the nail bed. This can be the result of: internal malignancies lymphedema, swelling of the hands pleural effusions, fluid buildup between the lungs and chest cavity respiratory illnesses such as chronic bronchitis or sinusitis rheumatoid arthritis These are just some of the signs of abnormal fingernails. Having any of these signs isn’t proof of any medical condition. You’ll need to visit your doctor to determine if your condition is serious. In many cases, proper care of your nails is enough to correct their appearance. How to care for your nails You can prevent many nail abnormalities by taking good care of your nails. Follow these general guidelines to keep your nails healthy: Tips Don’t bite or tear at your nails, or pull on hangnails. Always use nails clippers and trim them after you bathe, when nails are still soft. Keep your nails dry and clean. Using sharp manicure scissors, trim your nails straight across, rounding the tips gently. If you have a problem with brittle or weak nails, keep them short to avoid breakage. Use lotion on your nails and cuticles to keep the nail and nail beds moisturized. Homoeopathic medicines for nail abnormalities Medicines according to Cause1 Cause Medicines From a hurt Ledum pal. Prick with a needle under the nail Allium cepa, Bovista, Sulphur; Hard work Rhus tox, Sepia; Prick near the nail Iodum; Splinters Baryta carb., Hepar sulph., Iodum, Lachesis, Nitricum acidum, Petroleum, Silicea, Sulphur; Splits of the skin adhering to the nails Allium cepa, Natrum mur. TABLE 2 Medicines according to the Sensation Sensations Medicines Irritable feeling under finger nails, relieved by biting them Ammonium brom. Itching-about roof of Upas tiente Pains-Burning under Sarsarparilla Pains, gnawing, beneath finger nails Alumina; Sarsaparilla.; Sepia Pains, neuralgic, beneath finger nails Berberis vulgaris Pains, neuralgic Alumina; Allium cepa; Colchicum Pains, smarting at roots Sulphur Pains, splinter-like, beneath toe nails Fluoric acidum Pains, ulcerative, beneath toe nails Antimonium crudum; Graphites; Teucrium Medicines according to Location1 Fig. Medicines according to location pastedGraphic.png TABLE 3 Medicines according to Pathology Pathology Medicines Atrophy Silicea Blueness Digitalis; Oxalicum Acidum Deformed-brittle, thickened (onchogryposis) Alumina; Anatherium; Antimonium crudum; Arsenicum album; Causticum; Dioscorea; Fluoricum acidum; Graphites; Merc. Sol.; Natrum muriaticum; Sabadilla; Secal cor..; Senecio aureus; Sepia; Silicea; Thuja.; X-ray. Falling off Brassica napus; Butyric acid; Helleborus faetidus; Helleborus Hangnails Lycopodium; Natrum muriaticum; Sulphur; Upas tiente Hypertrophy (onychauxis) Graphites Inflammation of pulp (onychia) Arnica; Calendula; Fluoricum acidum.; Graphites; Phosphorus; Psorinum; Sarsaparilla; Silicea; Upas tiente Inflammation, under toe nails Sabadilla Ingrowing toe nails Causticum; Magnetis polus austral.; Nitricum acidum; Silicea; Staphysagria; Teucrium; Tetrodymite Softening Plumbum met; Thuja Spots, white on Alumina; Nitricum acidum Trophic changes Radium brom Ulceration Alumina; Garphites; Merc. Sol.; Phosphorus; Sanguinaria; Sarsaparilla; Silicea; Teucrium; Tetrodymite Yellow color Conium maculatumDr. Drrajesh Gupta8 Likes14 Answers
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12 Amazing Health Benefits Of Manganese stylecraze.com Oct 17, 2017 11:20 AM Manganese is an essential mineral that is needed by our body in little amounts, and hence, it is often referred to as one of the trace minerals. Our body contains, at most, 20 mg of manganese. It is mainly concentrated in the liver, pancreas, kidneys, and bones. This mineral is needed for the proper functioning of our brain and nervous system. There are several other important benefits of manganese that have been included in this article. Keep reading to know more about them. Manganese – A Brief ￼ Image: Shutterstock Manganese, an active component of the enzyme manganese superoxide dismutase, is necessary for the proper functioning of enzymes, absorption of nutrients, wound healing, and development of bones in the body. The deficiency of manganese can cause joint pains, poor bone health, and fertility problems. Studies have shown that one needs to take almost 12 mg of manganese on a daily basis for optimum health. This trace mineral is a strong antioxidant that scavenges the free radicals in the body. Now, the important question that arises is, what are the sources of manganese? This trace mineral is found in variable quantities in spices, herbs, cloves, saffron, wheat germ, bran, nuts, mussels, oysters, clams, cocoa powder, dark chocolate, roasted pumpkin, squash seeds, flax, sesame seeds, sesame butter, chili powder, roasted soybeans, and sunflower seeds. How Manganese Is Beneficial Strengthens BonesScavenges Free RadicalsControls Sugar LevelsTreats EpilepsyControls Metabolism RateTreats Inflammation And SprainsPrevents OsteoporosisGood For Thyroid HealthAlleviates PMS SyndromeAids Vitamin AbsorptionGood For Brain HealthIncreases Energy And Functional Efficiency In The Body Health Benefits Of Manganese Let’s take a look at the spectrum of health benefits manganese has to offer. 1. Strengthens Bones ￼ Image: Shutterstock Manganese is vital for the normal development of the human bone structure (1). It helps to boost the mineral density of the spine (2). It has also proved to be beneficial for post-menopausal women. Manganese deficiency in women after menopause can increase the amount of trace minerals and cause minor fractures. Research is going on to establish a concrete evidence that manganese can help prevent osteoporosis and many other diseases. 2. Scavenges Free Radicals Manganese has antioxidant properties, which help it to monitor the activity of free radicals in our body (3). These free radicals can damage human cells and lead to cancer and other harmful diseases. Hence, it is vital to add manganese-rich food sources or supplements to your diet to avert the risk of many diseases. 3. Controls Sugar Levels ￼ Image: Shutterstock Manganese can control the blood sugar levels in our body and help prevent diabetes. Manganese can normalize the synthesis and secretion of insulin in the blood to control the level of sugar. This also helps to regulate unpredictable drops in the blood sugar, which makes life easier for diabetics (4). 4. Treats Epilepsy Epilepsy is a troublesome disorder, and the deficiency of manganese can trigger epileptic seizures. Manganese can act as a vasodilator and plays a key in treating seizures due to its anti-epileptic qualities (5). You can use manganese supplements to control minor and major epileptic seizures. Regulating our body’s metabolism is an essential function of manganese. Manganese-activated enzymes are useful to metabolize cholesterol, amino acids, carbohydrates, and vitamins such as vitamin E and vitamin B1. It also helps in proper functioning of the liver. Manganese can help in the metabolism of glutamine (amino acid) and is an integral part of DNA polymerase (6). 6. Treats Inflammation And Sprains ￼ Image: Shutterstock Manganese cures sprains and inflammation by increasing the superoxide dismutase level (7). This happens due to its antioxidant properties. Superoxide dismutase (SOD) deficiency can be observed in patients with arthritis. SOD has anti-inflammatory properties that can alleviate arthritis. Manganese can help to increase the synthesis and functioning of SOD, thus helping reduce the symptoms of the condition. 7. Prevents Osteoporosis Manganese supplements can give you relief from osteoporosis and osteoarthritis since this essential mineral can add to the bone density and mineral density. However, further research is needed to specifically explore the impact of manganese on the bone health (8). 8. Good For Thyroid Health You may not be aware of many other mineral supplements for thyroid disorder other iodine, right? But, manganese is also very much essential for thyroid health. Manganese is an essential co-factor for various enzymes like thyroxine, a vital hormone in the thyroid gland. It is important to maintain proper functioning of the thyroid gland to avoid health issues. This can be useful to maintain proper appetite, metabolism, weight, and organ system efficiency (9). 9. Alleviates PMS Syndrome ￼ Image: Shutterstock Many women can suffer from premenstrual syndrome (PMS). Manganese helps to manage mood swings and reduce headaches, depression, and irritability. Women who suffer from severe PMS symptoms are advised to consume manganese supplements (10). 10. Aids Vitamin Absorption Manganese can be useful in the absorption of essential vitamins such as vitamin B, vitamin E, and minerals. It plays an important role in enzymatic reactions required for the absorption and utilization of vitamins obtained from food (11). 11. Good For Brain Health Manganese is found to be very essential in treating many nervous disorders. This property of manganese is due to the availability of superoxide dismutase, which scavenges free radicals from the neural pathways. Manganese also binds with neurotransmitters, thus regulating the transmission of electrical impulses throughout the body and enhancing the cognitive function (12). 12. Increases Energy And Functional Efficiency In The Body Manganese can also provide instant energy and ensure proper working of the body. It regulates glucose metabolism, thus ensuring proper energy distribution in each and every cell of the body. It also ensures proper absorption of glucose in the muscles and organs (13). A Word Of Caution Though manganese offers a lot of health benefits, you need to limit its consumption and be aware of its side effects. Listed below are a few things you need to keep in mind: Make sure you consume the amount prescribed by your health care provider. Overdose can be fatal.Don’t consume manganese supplements within an hour or two of taking an antacid. This is because antacids are known to lower the absorption of manganese in the body.People who receive nutrition through IV should avoid consuming manganese supplements altogether.Kids under the age of five can be badly affected if they inhale manganese.Using manganese supplements with quinolone antibiotics can be fatal.Manganese makes up the trio of toxic trace minerals in the body, and their deficiency or overuse can cause serious damage. Make sure that you never inhale it over a long period as it may lead to a number of fatal disorders like Parkinson’s.Those with liver disorders should avoid taking manganese supplements as they can lead to tremors or mental disorders.People suffering from iron-deficiency anemia should totally avoid its consumption as their body tries to absorb as much of manganese as possible. Public Health Recommendations The dietary intakes recommended by the National Academy of Sciences for common masses are as follows. Age/Life Stage Adequate Intake (Per day) 0-6 months0.003 mg7-12 months0.6 mg1-3 years1.2 mg4-8 years1.5 mg 9-13 years, female 9-13 years, male 1.6 mg 1.9 mg 14-18 years, female 14-18 years, male 1.6 mg 2.2 mg 19+ years, female 19+ years, male 1.8 mg 2.3 mg Pregnant women2.0 mgLactating women2.6 mg It is evident from the above-mentioned benefits that manganese can contribute to your overall wellness in a variety of ways. We hope you found this information useful. Let us know if you know any other ways of incorporating this essential mineral in your diet. Report a problem ￼194￼dislikeDr. Tapan Kumar Sau4 Likes9 Answers