Subungual exostosis
Subungual exostoses are bony projections which arise from the dorsal surface of the distal phalanx, most commonly of the hallux.[1]
Presentation
They tend to be painful due to the pressure applied to the nail bed and plate. They can involve destruction of the nail bed.[2] They are commonly osteochondromas which have identical radiographical and pathological features and never metastasize.
Subungal malignant melanomas can also occur in canines.
They are distinct from subungual osteochondroma.[3]
Treatment
Surgical excision is common and is a very effective mode of treatment.
See also
References
- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 1-4160-2999-0.
- ^ Suga H, Mukouda M (2005). "Subungual exostosis: a review of 16 cases focusing on postoperative deformity of the nail". Annals of plastic surgery 55 (3): 272–5. PMID 16106166.
- ^ Lee SK, Jung MS, Lee YH, Gong HS, Kim JK, Baek GH (2007). "Two distinctive subungual pathologies: subungual exostosis and subungual osteochondroma". Foot & ankle international / American Orthopaedic Foot and Ankle Society [and] Swiss Foot and Ankle Society 28 (5): 595–601. doi:10.3113/FAI.2007.0595. PMID 17559767.
See also