Spotted nails L60.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Dimples; dot; nail pitting; Onychosis multi- et micropunctata; onychosis punctata; Pitting; thimble nail

Definition
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Superficial, fine, barely 0.1 cm large, round or oval, punctiform depressions in the nail plate (surface defects), which can be detected in one or more nails. These "spots" can occur idiopathically or symptomatically in the wake of underlying diseases.

Occurrence/Epidemiology
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Psoriasis vulgaris: Nail matrix psoriasis with numerous, dimple-shaped depressions in the nail plate of several nails (psoriasis punctata unguium) Also occurs in alopecia areata, eczema diseases or idiopathically.

Etiopathogenesis
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Circumscribed defective keratinization, whereby these defective (parakeratotic) areas break out of the nail matrix and leave a "pit-shaped" depression.

Therapy
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Not necessary for medical reasons. Treatment of the underlying disease. Nail gels can be applied to improve the aesthetic appearance.

Literature
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  1. Nanda S et al (2014) Utility of gel nails in improving the appearance ofcosmetically disfigured nails: experience with 25 cases. J Cutan Aesthet Surg7:26-31

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020