Nail unit ultrasound: applications in dermatological practice
Keywords:
Ultrasonography, Nail diseases, Nails, infection, Connective Tissue Diseases, NeoplasmsAbstract
Nails have a functional significance. Nail disorders are usually diagnosed in clinical settings but ultrasound and magnetic resonance are imaging alternatives for the study of the nail diseases. Ultrasound has an advantage mainly for its wide availability and because it is a method for the diagnosis, preoperative evaluation, treatment and follow. The nail apparatus consists of tissues with different densities that allow themselves to be defined and individualized by ultrasound. It is the duty of the dermatologist to know this alternative and of the radiologists to acquire skills in order to make the diagnosis in a timely manner for the benefit of patients.
Author Biographies
Felipe Aluja, Country Scan Ltda
Médico radiólogo, Country Scan Ltda., Bogotá, D.C., Colombia.
Diana Carolina Quiasúa, Policlínica Geral do Rio de Janeiro
Médica, residente de Dermatología, Instituto de Pós-graduação Médica Carlos Chagas - Policlínica Geral do Rio de Janeiro, Rio de Janeiro, Brasil
Héctor Mauricio Martínez, Clínica Universitaria Colombia
Médico radiólogo, Clínica Universitaria Colombia, Bogotá, D.C., Colombia.
César González, Organización Sanitas Internacional
Médico dermatólogo, Organización Sanitas Internacional, Bogotá, D.C., Colombia.
References
1. Wortsman X, Jemec GBE. Ultrasound imaging of nails. Dermatol Clin. 2006;24:323-8.
2. Harai T, Fumiri M. Ultrasonic observation of the nail matrix. Dermatol Surg. 1995;21:158-61.
3. Wortsman X. Sonography of cutaneous and ungual lumps and bumps. Ultrasound Clin. 2012;7:505-23.
4. Gutiérrez M, Restrepo JP, Filippucci E, Grassi W. La ultrasonografía con sondas de alta frecuencia en el estudio de la piel y de la uña psoriática. Rev Colomb Reumatol. 2009;16:332-5.
5. Richert B, Lateur N, Theunis A, Andre J. New tools in nail disorders. Semin Cutan Med Surg. 2009;28:44-8.
6. Wollina U, Berger M, Karte K. Calculation of nail plate and nail matrix parameters by 20 MHz ultrasound in healthy volunteers and patients with skin disease. Skin Res Technol. 2001;7:60-4.
7. Singh R, Bryson D, Singh HP, Jeyapalan K, Dias JJ. High resolution ultrasonography in assessment of nail related disorders. Skeletal Radiol. 2012;41:1251-61.
8. Wortsman X. Ultrasound in dermatology. Why, how and when? Semin Ultrasound CT MR. 2013;34:177-95.
9. Cecchini A, Montella A, Pasquale E, Battista MG, Vittorio M. Ultrasound anatomy of normal nail units with 19 MHz linear transducer. It J Anat Embryol. 2009;114:137-44.
10. Finlay AY, Western B, Edwards C. Ultrasound velocity in human fingernail and effects of hydration: Validation of in vivo nail thickness measurement techniques. Br J Dermatol. 1990;123:365-73.
11. Jemec GBE, Serup J. Ultrasound structure of the human nail plate. Arch Dermatol. 1989;125:643-6.
12. Wortsman X, Wortsman J. Clinical usefulness of variablefrequency ultrasound localized lesions of the skin. J Am Acad Dermatol. 2010;62:247-56.
13. Wortsman X, Gutiérrez M, Saavedra T, Honeyman J. The role of ultrasound in rheumatic skin and nail lesions. A multispecialist approach. Clin Reumatol. 2011;30:739-48.
14. Gisondi P, Idolazzi L, Girolomoni G. Ultrasonography reveals nail thickening in patients with chronic plaque psoriasis. Arch Dermatol Res. 2012;304:727-32.
15. Bueno A, López J, de la Cruz R, Hernández S, Alonso S, González S, et al. Ultrasound and MR findings in tumor and tumor-like lesions of the fingers. Eur Radiol. 2003;13:672-85.
16. Choi JH, Shin DH, Shin DS, Cho KH. Subungual keratoacanthoma. Ultrasound and magnetic resonance imaging findings. Skeletal Radiol. 2007;36:769-72.
17. Bodman MA. Nail dystrophies. Clin Podiatr Med Surg. 2004;21:663-87.
18. Dahdah MJ, Scher RK. Nail diseases related to nail cosmetics.
Dermatol Clin. 2006;24:233-9.
19. Berker D. Nail anatomy. Clin Dermatol. 2013;31:509-15.
20. Wortsman X, Jemec G, editors. Dermatologic ultrasound with clinical and histological correlations. New York: Springer; 2013. p. 419-76.
21. Wortsman X, Wortsman J, Guerrero R, Soto R, Baran R. Anatomical changes in retronychia and onycomadesis detected using ultrasound. Dermatol Surg. 2010;36:1615-20.
22. Zaiac MN, Walker A. Nail abnormalities associated with systemic pathologies. Clin Dermatol. 2013;31:627-49.
23. Baran R. The nail in the ederly. Clin Dermatol. 2011;29:54-60.
24. Gisondi P, Idolazzi L, Girolomoni G. Ultrasonography reveals nail thickening in patients with chronic plaque psoriasis. Arch Dermatol Res. 2012;304:727-32.
25. Martin B. Nail histopathology. Actas Dermosifiliogr. 2013;104:564-78.
26. Wulkan AJ, Tosti A. Pediatric nail conditions. Clin Dermatol. 2013;31:564-72.
27. González CP. Evaluación ecográfica del aparato ungueal. Revista Médica Sanitas. 2013;16:125-33.
28. Shah KN, Rubin AI. Nail disorders as signs of pediatric systemic disease. Curr Probl Pediatr Adolesc Health Care. 2012;42:204-11.
29. Flint W, Cain J. Nail and skin disorders of the foot. Med Clin North Am. 2014;98:213-25.
30. Lawry M, Rich P. The nail apparatus: A guide for basic and clinical science. Cur Probl Dermatol.1999;11:161-208.
31. Baek HJ, Lee SJ, Cho KH, Choo HJ, Lee SM, Lee YH, et al. Subungual tumors: Clinico-pathologic correlation with US and MR imaging findings. Radiographics. 2010;30:1621-36.
32. Shemer A, Damniel CR. Common nail disorders. Clin Dermatol. 2013;31:578-86.
2. Harai T, Fumiri M. Ultrasonic observation of the nail matrix. Dermatol Surg. 1995;21:158-61.
3. Wortsman X. Sonography of cutaneous and ungual lumps and bumps. Ultrasound Clin. 2012;7:505-23.
4. Gutiérrez M, Restrepo JP, Filippucci E, Grassi W. La ultrasonografía con sondas de alta frecuencia en el estudio de la piel y de la uña psoriática. Rev Colomb Reumatol. 2009;16:332-5.
5. Richert B, Lateur N, Theunis A, Andre J. New tools in nail disorders. Semin Cutan Med Surg. 2009;28:44-8.
6. Wollina U, Berger M, Karte K. Calculation of nail plate and nail matrix parameters by 20 MHz ultrasound in healthy volunteers and patients with skin disease. Skin Res Technol. 2001;7:60-4.
7. Singh R, Bryson D, Singh HP, Jeyapalan K, Dias JJ. High resolution ultrasonography in assessment of nail related disorders. Skeletal Radiol. 2012;41:1251-61.
8. Wortsman X. Ultrasound in dermatology. Why, how and when? Semin Ultrasound CT MR. 2013;34:177-95.
9. Cecchini A, Montella A, Pasquale E, Battista MG, Vittorio M. Ultrasound anatomy of normal nail units with 19 MHz linear transducer. It J Anat Embryol. 2009;114:137-44.
10. Finlay AY, Western B, Edwards C. Ultrasound velocity in human fingernail and effects of hydration: Validation of in vivo nail thickness measurement techniques. Br J Dermatol. 1990;123:365-73.
11. Jemec GBE, Serup J. Ultrasound structure of the human nail plate. Arch Dermatol. 1989;125:643-6.
12. Wortsman X, Wortsman J. Clinical usefulness of variablefrequency ultrasound localized lesions of the skin. J Am Acad Dermatol. 2010;62:247-56.
13. Wortsman X, Gutiérrez M, Saavedra T, Honeyman J. The role of ultrasound in rheumatic skin and nail lesions. A multispecialist approach. Clin Reumatol. 2011;30:739-48.
14. Gisondi P, Idolazzi L, Girolomoni G. Ultrasonography reveals nail thickening in patients with chronic plaque psoriasis. Arch Dermatol Res. 2012;304:727-32.
15. Bueno A, López J, de la Cruz R, Hernández S, Alonso S, González S, et al. Ultrasound and MR findings in tumor and tumor-like lesions of the fingers. Eur Radiol. 2003;13:672-85.
16. Choi JH, Shin DH, Shin DS, Cho KH. Subungual keratoacanthoma. Ultrasound and magnetic resonance imaging findings. Skeletal Radiol. 2007;36:769-72.
17. Bodman MA. Nail dystrophies. Clin Podiatr Med Surg. 2004;21:663-87.
18. Dahdah MJ, Scher RK. Nail diseases related to nail cosmetics.
Dermatol Clin. 2006;24:233-9.
19. Berker D. Nail anatomy. Clin Dermatol. 2013;31:509-15.
20. Wortsman X, Jemec G, editors. Dermatologic ultrasound with clinical and histological correlations. New York: Springer; 2013. p. 419-76.
21. Wortsman X, Wortsman J, Guerrero R, Soto R, Baran R. Anatomical changes in retronychia and onycomadesis detected using ultrasound. Dermatol Surg. 2010;36:1615-20.
22. Zaiac MN, Walker A. Nail abnormalities associated with systemic pathologies. Clin Dermatol. 2013;31:627-49.
23. Baran R. The nail in the ederly. Clin Dermatol. 2011;29:54-60.
24. Gisondi P, Idolazzi L, Girolomoni G. Ultrasonography reveals nail thickening in patients with chronic plaque psoriasis. Arch Dermatol Res. 2012;304:727-32.
25. Martin B. Nail histopathology. Actas Dermosifiliogr. 2013;104:564-78.
26. Wulkan AJ, Tosti A. Pediatric nail conditions. Clin Dermatol. 2013;31:564-72.
27. González CP. Evaluación ecográfica del aparato ungueal. Revista Médica Sanitas. 2013;16:125-33.
28. Shah KN, Rubin AI. Nail disorders as signs of pediatric systemic disease. Curr Probl Pediatr Adolesc Health Care. 2012;42:204-11.
29. Flint W, Cain J. Nail and skin disorders of the foot. Med Clin North Am. 2014;98:213-25.
30. Lawry M, Rich P. The nail apparatus: A guide for basic and clinical science. Cur Probl Dermatol.1999;11:161-208.
31. Baek HJ, Lee SJ, Cho KH, Choo HJ, Lee SM, Lee YH, et al. Subungual tumors: Clinico-pathologic correlation with US and MR imaging findings. Radiographics. 2010;30:1621-36.
32. Shemer A, Damniel CR. Common nail disorders. Clin Dermatol. 2013;31:578-86.
How to Cite
1.
Aluja F, Quiasúa DC, Martínez HM, González C. Nail unit ultrasound: applications in dermatological practice. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2016 Dec. 1 [cited 2024 Jul. 22];24(4):290-8. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/1121
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Published
2016-12-01
How to Cite
1.
Aluja F, Quiasúa DC, Martínez HM, González C. Nail unit ultrasound: applications in dermatological practice. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2016 Dec. 1 [cited 2024 Jul. 22];24(4):290-8. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/1121
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Topic review
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