Predisposing Factors, Treatment, and Pathophysiology of Retronychia in China: A Retrospective Study of 107 Cases.

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2024-10-31 DOI:10.1097/DSS.0000000000004467

Liang Chen, Wei Wang, Heng Wang, Dong Dong, Tianyi Liu

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引用次数: 0

Abstract

Background: Retronychia, a condition marked by abnormal nail growth, is frequently underdiagnosed and misinterpreted, with a few reported cases in the literature.

Objective: To investigate the pathophysiology, identify contributing factors, and assess the outcomes of surgical and nonsurgical treatments for retronychia.

Methods and materials: A retrospective review of 107 retronychia cases diagnosed at the center between January 2021 and July 2022 was conducted.

Results: Predisposing factors were identified in 93.46% of cases, with 88.79% of patients reporting a habit of wearing socks during sleep before symptom onset. Noninvasive treatments targeting these factors led to full recovery in 79.55% of cases, while 13.64% experienced partial improvement, inducing reduced proximal nail fold inflammation. Nail avulsion, which involves removing the entire nail, achieved a relapse-free cure rate of 90.91%. When the innermost nail plate was preserved, the cure rate rose to 96.67%.

Conclusion: Chronic mechanical forces, frequently overlooked, play a pivotal role in retronychia onset and progression. Conservative management targeting these mechanical factors is recommended for patients with mild cases.

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中国视网膜皲裂的诱发因素、治疗和病理生理学：107 例病例的回顾性研究。

背景：甲沟炎（Retronychia）是一种以指甲异常生长为特征的疾病，经常被误诊和误读，文献中仅有少数病例报道：调查病理生理学，确定诱因，并评估手术和非手术治疗再甲的效果：对2021年1月至2022年7月期间在该中心确诊的107例再障病例进行回顾性研究：结果：93.46%的病例确定了诱发因素，88.79%的患者报告在症状发作前有睡觉时穿袜子的习惯。针对这些因素的非侵入性治疗使79.55%的病例完全康复，13.64%的病例得到部分改善，甲襞近端炎症减轻。指甲剥离术包括切除整个指甲，无复发治愈率为 90.91%。当保留最内层甲板时，治愈率上升到96.67%：结论：经常被忽视的慢性机械力在再障的发生和发展中起着关键作用。建议对轻度患者采取针对这些机械因素的保守治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.