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Flashcards in Hair & Nail Disorders Deck (36)
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1

Define Onchomycosis

Nail infections caused by ANY fungus

2

Risk Factors for Onchomycosis

Older age
DM
Swimming
Tinea pedis
Psoriasis
Immunodeficiency
Living with someone affected

3

Presentation of Onychomycosis

Brittle
Lusterless
Hypertrophic
White/yellow/brown discoloration

4

What can nail dystrophies occur with?

Psoriasis
Eczematous conditions
Senile ischemia
Trauma
Lichen planus

5

Diagnosis of Onychomycosis

KOH examination
Nail culture (DTM)
Nail plate biopsy

6

Treatment of Onychomycosis Recommended in Whom?

Hx of cellulitis of LE
DM + risk factors for cellulitis
Discomfort +/- pain
Desire treatment for cosmetic reasons

7

First Line Treatment of Onychomycosis

Oral terbinafine (Lamisil)

8

Alternative Treatment Options for Onychomycosis

Itraconazole (Sporanox)
Griseofulvin
Fluconazole (Diflucan)

9

Monitoring for Treatment of Onychomycosis

LFTs
Hepatotoxicity
Hepatic failure

10

Treatment for Onychomycosis can not be used with what medication class?

Statins

11

Define Paronychia

Infection around fingernail
Bug: Staph aureus

12

Treatment of Paronychia

Antibiotics
Warm soaks
I&D: serious cases

13

Define Felon

Pulp space infection

14

Presentation of Felons

Swollen
Exquisitely tender
Erythematous

15

Treatment of a Felon

I&D
Antibiotics
Referral to hand surgeon

16

Define Herpetic Whitlow

Herpetic infection by inoculation of the virus in the cuticle region

17

Treatment of Herpetic Whitlow

Self-limited
Immunocompromised: oral acyclovir

18

Define Onychocryptosis (Ingrown nail)

Lateral nail plate pierces the lateral nail fold & enters the dermis

19

Presentation of Onychocryptosis

Pain
Edema
Exudate
Granulation tissue

20

Predisposing Factors of Onychocryptosis

Poorly fitting shoes
Excessive trimming of the lateral nail plate
Trauma

21

Treatment for a Mild to Moderate Onychocryptosis

Cotton wedging or dental floss
Soak foot in warm water for 20 minutes 3 times/day

22

Treatment for a Moderate to Severe Onychocryptosis

Removal
Possible antibiotics

23

Define Onychogryphosis

Deformed, curved nail

24

Define Alopecia

Loss of hair in areas where it normally grows

25

Define Androgenic Alopecia

Male pattern baldness

26

4 Factors in Androgenic Alopecia

Genetic predisposition
Hormonal activity
Age
Gender

27

Treatment of Androgenic Alopecia

Finasteride (Propecia)
Topical minoxidil (Rogaine)

28

MOA of Androgenic Alopecia

Blocks conversion of testosterone to DHT

29

Describe Alopecia Areata

Rapid hair loss in distinct, well-defined round or oval patches of COMPLETE hair loss
Possibly auto-immune

30

What is alopecia areata associated with?

Vitiligo
Hashimoto's thyroiditis
Addison's disease
Pernicious anemia