The nails in adult type 1 pityriasis rubra pilaris. A comparison with Sézary syndrome and psoriasis.
Identifieur interne : 006520 ( PubMed/Curation ); précédent : 006519; suivant : 006521The 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
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<author><name sortKey="Sonnex, T S" sort="Sonnex, T S" uniqKey="Sonnex T" first="T S" last="Sonnex">T S Sonnex</name>
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<author><name sortKey="Dawber, R P" sort="Dawber, R P" uniqKey="Dawber R" first="R P" last="Dawber">R P Dawber</name>
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<author><name sortKey="Zachary, C B" sort="Zachary, C B" uniqKey="Zachary C" first="C B" last="Zachary">C B Zachary</name>
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<author><name sortKey="Millard, P R" sort="Millard, P R" uniqKey="Millard P" first="P R" last="Millard">P R Millard</name>
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<author><name sortKey="Griffiths, A D" sort="Griffiths, A D" uniqKey="Griffiths A" first="A D" last="Griffiths">A D Griffiths</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">The nails in adult type 1 pityriasis rubra pilaris. A comparison with Sézary syndrome and psoriasis.</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term>
<term>Lymphedema (complications)</term>
<term>Nail Diseases (diagnosis)</term>
<term>Nails (anatomy & histology)</term>
<term>Nails (pathology)</term>
<term>Pigmentation Disorders (pathology)</term>
<term>Pityriasis Rubra Pilaris (pathology)</term>
<term>Pleural Effusion (complications)</term>
<term>Psoriasis (pathology)</term>
<term>Sezary Syndrome (pathology)</term>
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<term>Lymphoedème ()</term>
<term>Ongles (anatomie et histologie)</term>
<term>Ongles (anatomopathologie)</term>
<term>Onychopathies (diagnostic)</term>
<term>Pityriasis rubra pilaire (anatomopathologie)</term>
<term>Psoriasis (anatomopathologie)</term>
<term>Syndrome de Sézary (anatomopathologie)</term>
<term>Troubles de la pigmentation (anatomopathologie)</term>
<term>Épanchement pleural ()</term>
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<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Ongles</term>
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<term>Pityriasis rubra pilaire</term>
<term>Psoriasis</term>
<term>Syndrome de Sézary</term>
<term>Troubles de la pigmentation</term>
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<term>Pleural Effusion</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Onychopathies</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Nails</term>
<term>Pigmentation Disorders</term>
<term>Pityriasis Rubra Pilaris</term>
<term>Psoriasis</term>
<term>Sezary Syndrome</term>
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<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<Title>Journal of the American Academy of Dermatology</Title>
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<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>
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<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Am Acad Dermatol. 1989 Oct;21(4 Pt 1):811-2</RefSource>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D012751" MajorTopicYN="N">Sezary Syndrome</DescriptorName>
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