Brussolo ME, Ayala CAS, Correa SDC, Cuéllar BA

Language: Spanish
References: 12
Page: 349-351
PDF size: 153.79 Kb.

ABSTRACT

Nails cosmetics have become an increasing cause of nail disorders including traumatic onycholysis, onychodystrophy, contact dermatitis, and infections. The chronic use of Shellac^TM can cause psoriasiform nail dystrophy. Therefore, a thorough history might help reach a timely diagnosis and give a rapid intervention. A 29-year-old female with a 20-day evolution of an asymptomatic dermatosis with a history of chronic use of Shellac^TM, presented all fingernails with subungual hyperkeratosis, longitudinal ridges, oil spots, splinter hemorrhages, and onycholysis. The diagnosis of psoriasiform onychodystrophy induced by chronic application of Shellac^TM manicures was made, and the patient was advised to suspend gel nail manicures, and treatment with topical clobetasol 0.4% ointment under occlusion once daily was prescribed for ten days. After three cycles the patient referred complete resolution of her dermatosis. This nail disorder may be the consequence of nail polish components, instruments, or products used for its removal. Swift suspicion of this condition might help clinicians give proper education and treatment to prevent long-term nail damage.

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