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Pterygium inversum unguis or ventral pterygium is characterized by the adherence of the distal portion of the nailbed to the ventral surface of the nail plate. [3]: 788 The condition may be present at birth or acquired, and may cause pain with manipulation of small objects, typing, and close manicuring of the nail.
Pterygium unguis (or dorsal pterygium [1]: 660 ) forms as a result of scarring between the proximal nailfold and matrix, with the classic example being lichen planus, though it has been reported to occur as a result of sarcoidosis and Hansen's disease.
In some cases, WSO is a misdiagnosis of "keratins granulations" which are not a fungus, but a reaction to nail polish that can cause the nails to have a chalky white appearance. A laboratory test should be performed to confirm. [19] Proximal subungual onychomycosis is fungal penetration of the newly formed nail plate through the proximal nail fold.
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A new nail plate will form once the cause of the disease is removed. Onychomycosis , also known as tinea unguium , is a contagious infection of the nail caused by the same fungal organisms which cause ringworm of the skin ( Trichophyton rubrum or T. mentagrophytes , rarely other trichophyton species or Epidermophyton floccosum [ 1 ] ).
Athletes, especially runners, may be more likely to experience toenail involvement. [10] A portion of patients have onychomadesis recurrently without an obvious cause. [11] One of the most frequent causes of single-digit onychomadesis is local damage to the nail bed. [12] When more than one finger is involved, it may indicate a systemic cause. [13]
Onychauxis frequently shows up clinically as discoloration, subungual hyperkeratosis, and loss of nail plate translucency. [3] It may cause pain, and over time, distal onycholysis, subungual bleeding, subungual ulceration, or an elevated risk of onychomycosis might aggravate matters. [4] [5]
Pterygium colli or webbed neck, a congenital skin fold of the neck down to the shoulders. Pterygium inversum unguis or ventral pterygium, adherence of the distal portion of the nailbed to the ventral surface of the nail plate. Pterygium unguis or dorsal pterygium, scarring between the proximal nail fold and matrix. [2]