The nails in adult type 1 pityriasis rubra pilaris. A comparison with Sézary syndrome and psoriasis.
Identifieur interne : 005C62 ( PubMed/Checkpoint ); précédent : 005C61; suivant : 005C63The nails in adult type 1 pityriasis rubra pilaris. A comparison with Sézary syndrome and psoriasis.
Auteurs : T S Sonnex ; R P Dawber ; C B Zachary ; P R Millard ; A D GriffithsSource :
- Journal of the American Academy of Dermatology [ 0190-9622 ] ; 1986.
Descripteurs français
- KwdFr :
- Humains, Lymphoedème (), Ongles (anatomie et histologie), Ongles (anatomopathologie), Onychopathies (diagnostic), Pityriasis rubra pilaire (anatomopathologie), Psoriasis (anatomopathologie), Syndrome de Sézary (anatomopathologie), Troubles de la pigmentation (anatomopathologie), Épanchement pleural ().
- MESH :
- anatomie et histologie : Ongles.
- anatomopathologie : Ongles, Pityriasis rubra pilaire, Psoriasis, Syndrome de Sézary, Troubles de la pigmentation.
- diagnostic : Onychopathies.
- Humains, Lymphoedème, Épanchement pleural.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Nails.
- complications : Lymphedema, Pleural Effusion.
- diagnosis : Nail Diseases.
- pathology : Nails, Pigmentation Disorders, Pityriasis Rubra Pilaris, Psoriasis, Sezary Syndrome.
- Humans.
Abstract
The fingernails of twenty-four patients with classical adult (type 1) pityriasis rubra pilaris were examined for changes in nail morphology and a comparison was made with the fingernail morphology of twenty-seven consecutive psoriatic patients with nail changes. Distal yellow-brown discoloration, subungual hyperkeratosis, nail plate thickening, and splinter hemorrhages indicate a diagnosis of type 1 pityriasis rubra pilaris rather than psoriasis, while onycholysis (particularly marginal), salmon patches, small pits, and larger indentations of the nail plate indicate a diagnosis of psoriasis. Histology demonstrated that a nail biopsy would be a useful diagnostic procedure if nails were involved in isolation but provided no additional diagnostic features to those found from biopsy specimens of involved skin in the two conditions. The similarity in nail morphology between the type 1 pityriasis rubra pilaris patients and five patients with chronic erythroderma resulting from Sézary syndrome indicated that these changes may represent a nonspecific reaction pattern that may result from prolonged erythema of the proximal nail bed and matrix. The rough nails (trachyonychia) described in advanced Sézary syndrome were not observed in any of our patients.
PubMed: 3782535
Affiliations:
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Distal yellow-brown discoloration, subungual hyperkeratosis, nail plate thickening, and splinter hemorrhages indicate a diagnosis of type 1 pityriasis rubra pilaris rather than psoriasis, while onycholysis (particularly marginal), salmon patches, small pits, and larger indentations of the nail plate indicate a diagnosis of psoriasis. Histology demonstrated that a nail biopsy would be a useful diagnostic procedure if nails were involved in isolation but provided no additional diagnostic features to those found from biopsy specimens of involved skin in the two conditions. The similarity in nail morphology between the type 1 pityriasis rubra pilaris patients and five patients with chronic erythroderma resulting from Sézary syndrome indicated that these changes may represent a nonspecific reaction pattern that may result from prolonged erythema of the proximal nail bed and matrix. The rough nails (trachyonychia) described in advanced Sézary syndrome were not observed in any of our patients.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">3782535</PMID><DateCreated><Year>1987</Year><Month>01</Month><Day>07</Day></DateCreated><DateCompleted><Year>1987</Year><Month>01</Month><Day>07</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0190-9622</ISSN><JournalIssue CitedMedium="Print"><Volume>15</Volume><Issue>5 Pt 1</Issue><PubDate><Year>1986</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Journal of the American Academy of Dermatology</Title><ISOAbbreviation>J. Am. Acad. Dermatol.</ISOAbbreviation></Journal><ArticleTitle>The nails in adult type 1 pityriasis rubra pilaris. A comparison with Sézary syndrome and psoriasis.</ArticleTitle><Pagination><MedlinePgn>956-60</MedlinePgn></Pagination><Abstract><AbstractText>The fingernails of twenty-four patients with classical adult (type 1) pityriasis rubra pilaris were examined for changes in nail morphology and a comparison was made with the fingernail morphology of twenty-seven consecutive psoriatic patients with nail changes. Distal yellow-brown discoloration, subungual hyperkeratosis, nail plate thickening, and splinter hemorrhages indicate a diagnosis of type 1 pityriasis rubra pilaris rather than psoriasis, while onycholysis (particularly marginal), salmon patches, small pits, and larger indentations of the nail plate indicate a diagnosis of psoriasis. Histology demonstrated that a nail biopsy would be a useful diagnostic procedure if nails were involved in isolation but provided no additional diagnostic features to those found from biopsy specimens of involved skin in the two conditions. The similarity in nail morphology between the type 1 pityriasis rubra pilaris patients and five patients with chronic erythroderma resulting from Sézary syndrome indicated that these changes may represent a nonspecific reaction pattern that may result from prolonged erythema of the proximal nail bed and matrix. The rough nails (trachyonychia) described in advanced Sézary syndrome were not observed in any of our patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sonnex</LastName><ForeName>T S</ForeName><Initials>TS</Initials></Author><Author ValidYN="Y"><LastName>Dawber</LastName><ForeName>R P</ForeName><Initials>RP</Initials></Author><Author ValidYN="Y"><LastName>Zachary</LastName><ForeName>C B</ForeName><Initials>CB</Initials></Author><Author ValidYN="Y"><LastName>Millard</LastName><ForeName>P R</ForeName><Initials>PR</Initials></Author><Author ValidYN="Y"><LastName>Griffiths</LastName><ForeName>A D</ForeName><Initials>AD</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Am Acad Dermatol</MedlineTA><NlmUniqueID>7907132</NlmUniqueID><ISSNLinking>0190-9622</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Am Acad Dermatol. 1989 Oct;21(4 Pt 1):811-2</RefSource><PMID Version="1">2808806</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009260" MajorTopicYN="N">Nail Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009262" MajorTopicYN="N">Nails</DescriptorName><QualifierName UI="Q000033" MajorTopicYN="N">anatomy & histology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010859" MajorTopicYN="N">Pigmentation Disorders</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010916" MajorTopicYN="N">Pityriasis Rubra Pilaris</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010996" MajorTopicYN="N">Pleural Effusion</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011565" MajorTopicYN="N">Psoriasis</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012751" MajorTopicYN="N">Sezary Syndrome</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1986</Year><Month>11</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1986</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1986</Year><Month>11</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">3782535</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Dawber, R P" sort="Dawber, R P" uniqKey="Dawber R" first="R P" last="Dawber">R P Dawber</name><name sortKey="Griffiths, A D" sort="Griffiths, A D" uniqKey="Griffiths A" first="A D" last="Griffiths">A D Griffiths</name><name sortKey="Millard, P R" sort="Millard, P R" uniqKey="Millard P" first="P R" last="Millard">P R Millard</name><name sortKey="Sonnex, T S" sort="Sonnex, T S" uniqKey="Sonnex T" first="T S" last="Sonnex">T S Sonnex</name><name sortKey="Zachary, C B" sort="Zachary, C B" uniqKey="Zachary C" first="C B" last="Zachary">C B Zachary</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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