Nail changes associated with pigmentary disorders

Salient nail unit changes serve as pointers toward systemic disease. On similar lines, salient nail changes are associated with pigmentary disorders, and can help toward diagnosis. Nail changes form a part of various physiologic pigmentary changes including racial pigmentation, pregnancy, or neonata...

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Main Authors: Chander Grover, Shikha Bansal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Pigment International
Subjects:
Online Access:http://www.pigmentinternational.com/article.asp?issn=2349-5847;year=2021;volume=8;issue=2;spage=76;epage=85;aulast=Grover
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author Chander Grover
Shikha Bansal
author_facet Chander Grover
Shikha Bansal
author_sort Chander Grover
collection DOAJ
description Salient nail unit changes serve as pointers toward systemic disease. On similar lines, salient nail changes are associated with pigmentary disorders, and can help toward diagnosis. Nail changes form a part of various physiologic pigmentary changes including racial pigmentation, pregnancy, or neonatal period. At the same time, a number of nail changes can be valuable clues toward disorders of pigmentation associated with genetic syndromes (Laugier–Hunziker syndrome, incontinentia pigmenti, and tuberous sclerosis), endocrine disorders, disorders of metabolism (alkaptonuria), infections (HIV-AIDS), internal malignancies, etc. Nail changes are especially useful if cutaneous pigmentary changes are suspected to be drug-induced based or associated mucosal and/or cutaneous hyperpigmentation. Various drugs that can cause cutaneous pigmentary alterations along with nail changes include cyclophosphamide, adriamycin, vincristine, docetaxel, paclitaxel, carboplatin, psoralens, hydroxyurea, bleomycin, etc. Nail changes are also associated with disorders of hypomelanosis, for example, vitiligo. Pigmentary changes due to endogenous and exogenous pigments are again diagnosable based on the nail changes they induce. This narrative review highlights the importance of nail changes in suspecting and diagnosing various disorders of pigmentation. It also points toward areas which need future research.
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spelling doaj.art-a5b32db4d5d44629a159ff2240775d6b2022-12-21T22:25:30ZengWolters Kluwer Medknow PublicationsPigment International2349-58472349-57822021-01-0182768510.4103/pigmentinternational.pigmentinternational_36_21Nail changes associated with pigmentary disordersChander GroverShikha BansalSalient nail unit changes serve as pointers toward systemic disease. On similar lines, salient nail changes are associated with pigmentary disorders, and can help toward diagnosis. Nail changes form a part of various physiologic pigmentary changes including racial pigmentation, pregnancy, or neonatal period. At the same time, a number of nail changes can be valuable clues toward disorders of pigmentation associated with genetic syndromes (Laugier–Hunziker syndrome, incontinentia pigmenti, and tuberous sclerosis), endocrine disorders, disorders of metabolism (alkaptonuria), infections (HIV-AIDS), internal malignancies, etc. Nail changes are especially useful if cutaneous pigmentary changes are suspected to be drug-induced based or associated mucosal and/or cutaneous hyperpigmentation. Various drugs that can cause cutaneous pigmentary alterations along with nail changes include cyclophosphamide, adriamycin, vincristine, docetaxel, paclitaxel, carboplatin, psoralens, hydroxyurea, bleomycin, etc. Nail changes are also associated with disorders of hypomelanosis, for example, vitiligo. Pigmentary changes due to endogenous and exogenous pigments are again diagnosable based on the nail changes they induce. This narrative review highlights the importance of nail changes in suspecting and diagnosing various disorders of pigmentation. It also points toward areas which need future research.http://www.pigmentinternational.com/article.asp?issn=2349-5847;year=2021;volume=8;issue=2;spage=76;epage=85;aulast=Groveraidsdrug inducedendocrine disordersgenetic disordersmalignancymelanonychianailpigmentary disorderssystemic disorders
spellingShingle Chander Grover
Shikha Bansal
Nail changes associated with pigmentary disorders
Pigment International
aids
drug induced
endocrine disorders
genetic disorders
malignancy
melanonychia
nail
pigmentary disorders
systemic disorders
title Nail changes associated with pigmentary disorders
title_full Nail changes associated with pigmentary disorders
title_fullStr Nail changes associated with pigmentary disorders
title_full_unstemmed Nail changes associated with pigmentary disorders
title_short Nail changes associated with pigmentary disorders
title_sort nail changes associated with pigmentary disorders
topic aids
drug induced
endocrine disorders
genetic disorders
malignancy
melanonychia
nail
pigmentary disorders
systemic disorders
url http://www.pigmentinternational.com/article.asp?issn=2349-5847;year=2021;volume=8;issue=2;spage=76;epage=85;aulast=Grover
work_keys_str_mv AT chandergrover nailchangesassociatedwithpigmentarydisorders
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