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C.O.E. Continuing Education Curriculum Coordinator
CONTINUING EDUCATION All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or C.O.E. professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. Page 1 of 199 Click Here To Take Test Now (Complete the Reading Material first then click on the Take Test Now Button to start the test. Test is at the bottom of this page) 5 hr. Nail Structure and Growth & TCSG Health and Safety Outline Why Study Nail Structure and Growth? • The Natural Nail • Nail Anatomy • Nail Growth • Know Your Nails Objectives After completing this section, you should be able to: C.O.E.• Describe CONTINUING the structure and composition of nails. EDUCATION • Discuss how nails grow. • Identify diseases and disorders of the nail All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. E. Continuing Education. The course provided was prepared by C.O.E. Continuing Education Curriculum Coordinator. It is not meant to provide medical, legal or professional services advice. If necessary, it is recommended that you consult a medical, legal or professional services expert licensed in your state. 1 CONTINUING EDUCATION All Rights Reserved. Materials may not be copied, edited, reproduced, distributed, imitated in any way without written permission from C.O. -
A Case of Alopecia Areata in a Patient with Turner Syndrome
ID Design 2012/DOOEL Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 2017 Jul 25; 5(4):493-496. Special Issue: Global Dermatology https://doi.org/10.3889/oamjms.2017.127 eISSN: 1857-9655 Case Report A Case of Alopecia Areata in a Patient with Turner Syndrome Serena Gianfaldoni1*, Georgi Tchernev2, Uwe Wollina3, Torello Lotti4 1University G. Marconi of Rome, Dermatology and Venereology, Rome 00192, Italy; 2Medical Institute of the Ministry of Interior, Dermatology, Venereology and Dermatologic Surgery; Onkoderma, Private Clinic for Dermatologic Surgery, Dermatology and Surgery, Sofia 1407, Bulgaria; 3Krankenhaus Dresden-Friedrichstadt, Department of Dermatology and Venereology, Dresden, Sachsen, Germany; 4Universitario di Ruolo, Dipartimento di Scienze Dermatologiche, Università degli Studi di Firenze, Facoltà di Medicina e Chirurgia, Dermatology, Via Vittoria Colonna 11, Rome 00186, Italy Abstract Citation: Gianfaldoni S, Tchernev G, Wollina U, Lotti T. A The Authors report a case of alopecia areata totalis in a woman with Turner syndrome. Case of Alopecia Areata in a Patient with Turner Syndrome. Open Access Maced J Med Sci. 2017 Jul 25; 5(4):493-496. https://doi.org/10.3889/oamjms.2017.127 Keywords: alopecia areata; Turner syndrome; autoimmunity; corticosteroids; cyclosporine A. *Correspondence: Serena Gianfaldoni. University G. Marconi of Rome, Dermatology and Venereology, Rome 00192, Italy. E-mail: [email protected] Received: 09-Apr-2017; Revised: 01-May-2017; Accepted: 14-May-2017; Online first: 23-Jul-2017 Copyright: © 2017 Serena Gianfaldoni, Georgi Tchernev, Uwe Wollina, Torello Lotti. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). -
Nails Develop from Thickened Areas of Epidermis at the Tips of Each Digit Called Nail Fields
Nail Biology: The Nail Apparatus Nail plate Proximal nail fold Nail matrix Nail bed Hyponychium Nail Biology: The Nail Apparatus Lies immediately above the periosteum of the distal phalanx The shape of the distal phalanx determines the shape and transverse curvature of the nail The intimate anatomic relationship between nail and bone accounts for the bone alterations in nail disorders and vice versa Nail Apparatus: Embryology Nail field develops during week 9 from the epidermis of the dorsal tip of the digit Proximal border of the nail field extends downward and proximally into the dermis to create the nail matrix primordium By week 15, the nail matrix is fully developed and starts to produce the nail plate Nails develop from thickened areas of epidermis at the tips of each digit called nail fields. Later these nail fields migrate onto the dorsal surface surrounded laterally and proximally by folds of epidermis called nail folds. Nail Func7on Protect the distal phalanx Enhance tactile discrimination Enhance ability to grasp small objects Scratching and grooming Natural weapon Aesthetic enhancement Pedal biomechanics The Nail Plate Fully keratinized structure produced throughout life Results from maturation and keratinization of the nail matrix epithelium Attachments: Lateral: lateral nail folds Proximal: proximal nail fold (covers 1/3 of the plate) Inferior: nail bed Distal: separates from underlying tissue at the hyponychium The Nail Plate Rectangular and curved in 2 axes Transverse and horizontal Smooth, although -
Georgia TCSG Health and Safety
Chapter 1: Georgia TCSG Health and Safety 3 CE Hours Copyright ©October 2002-2015 State of Georgia All rights reserved. Georgia. Developed for the Georgia State Board of Cosmetology No part of this manual may be reproduced or transmitted in any form and the Georgia State Barber Board by the Technical College System or by any means, electronic or mechanical, including photocopying, of Georgia Formerly the Georgia Department of Technical and Adult recording, or by any information storage and retrieval system, Education (DTAE) Publication #C121002, Published December without written permission from the Technical College System of 2002, Revised November 2008. COURSE TABLE OF CONTENTS SECTION 1: SKIN, DISEASES, DISORDERS ● Anatomy and Histology of the Skin ○ Nerves of the Skin ○ Glands of the Skin ○ Nourishment of the Skin ○ Functions of the Skin ○ Terminology ● Diseases and Disorders ○ Skin Conditions/Descriptions ○ Nail Diseases/Disorders ○ Hair Disease/Disorders ○ Skin Conditions/Descriptions SECTION 2: BLOODBORNE PATHOGENS ● What are Bloodborne Pathogens? ● Hepatitis B Virus (HBV) ● Human Immunodeficiency Virus (HIV) ● Signs and Symptoms ● Transmission ● Transmission Routes ● Risk Factors and Behaviors ● Personal Protective Equipment SECTION 3: DECONTAMINATION & STERILIZATION ● Common Questions ● HIV ● Precautions SECTION 4: DECONTAMINATION AND INFECTION CONTROL ● Professional Salon Environment ● Safety Precautions ● Material Safety Data Sheet (M.S.D.S.) ● Organizing an M.S.D.S. Notebook SECTION 5: GEORGIA STATE BOARD OF COSMETOLOGY SANITARY -
NAIL CHANGES in RECENT and OLD LEPROSY PATIENTS José M
NAIL CHANGES IN RECENT AND OLD LEPROSY PATIENTS José M. Ramos,1 Francisco Reyes,2 Isabel Belinchón3 1. Department of Internal Medicine, Hospital General Universitario de Alicante, Alicante, Spain; Associate Professor, Department of Medicine, Miguel Hernández University, Spain; Medical-coordinator, Gambo General Rural Hospital, Ethiopia 2. Medical Director, Gambo General Rural Hospital, Ethiopia 3. Department of Dermatology, Hospital General Universitario de Alicante, Alicante, Spain; Associate Professor, Department of Medicine, Miguel Hernández University, Spain Disclosure: No potential conflict of interest. Received: 27.09.13 Accepted: 21.10.13 Citation: EMJ Dermatol. 2013;1:44-52. ABSTRACT Nails are elements of skin that can often be omitted from the dermatological assessment of leprosy. However, there are common nail conditions that require special management. This article considers nail presentations in leprosy patients. General and specific conditions will be discussed. It also considers the common nail conditions seen in leprosy patients and provides a guide to diagnosis and management. Keywords: Leprosy, nails, neuropathy, multibacillary leprosy, paucibacillary leprosy, acro-osteolysis, bone atrophy, type 2 lepra reaction, anonychia, clofazimine, dapsone. INTRODUCTION Leprosy can cause damage to the nails, generally indirectly. There are few reviews about the Leprosy is a chronic granulomatous infection affectation of the nails due to leprosy. Nails are caused by Mycobacterium leprae, known keratin-based elements of the skin structure that since ancient times and with great historical are often omitted from the dermatological connotations.1 This infection is not fatal but affects assessment of leprosy. However, there are the skin and peripheral nerves. The disease causes common nail conditions that require diagnosis cutaneous lesions, skin lesions, and neuropathy, and management. -
Pili Torti: a Feature of Numerous Congenital and Acquired Conditions
Journal of Clinical Medicine Review Pili Torti: A Feature of Numerous Congenital and Acquired Conditions Aleksandra Hoffmann 1 , Anna Wa´skiel-Burnat 1,*, Jakub Z˙ ółkiewicz 1 , Leszek Blicharz 1, Adriana Rakowska 1, Mohamad Goldust 2 , Małgorzata Olszewska 1 and Lidia Rudnicka 1 1 Department of Dermatology, Medical University of Warsaw, Koszykowa 82A, 02-008 Warsaw, Poland; [email protected] (A.H.); [email protected] (J.Z.);˙ [email protected] (L.B.); [email protected] (A.R.); [email protected] (M.O.); [email protected] (L.R.) 2 Department of Dermatology, University Medical Center of the Johannes Gutenberg University, 55122 Mainz, Germany; [email protected] * Correspondence: [email protected]; Tel.: +48-22-5021-324; Fax: +48-22-824-2200 Abstract: Pili torti is a rare condition characterized by the presence of the hair shaft, which is flattened at irregular intervals and twisted 180◦ along its long axis. It is a form of hair shaft disorder with increased fragility. The condition is classified into inherited and acquired. Inherited forms may be either isolated or associated with numerous genetic diseases or syndromes (e.g., Menkes disease, Björnstad syndrome, Netherton syndrome, and Bazex-Dupré-Christol syndrome). Moreover, pili torti may be a feature of various ectodermal dysplasias (such as Rapp-Hodgkin syndrome and Ankyloblepharon-ectodermal defects-cleft lip/palate syndrome). Acquired pili torti was described in numerous forms of alopecia (e.g., lichen planopilaris, discoid lupus erythematosus, dissecting Citation: Hoffmann, A.; cellulitis, folliculitis decalvans, alopecia areata) as well as neoplastic and systemic diseases (such Wa´skiel-Burnat,A.; Zółkiewicz,˙ J.; as cutaneous T-cell lymphoma, scalp metastasis of breast cancer, anorexia nervosa, malnutrition, Blicharz, L.; Rakowska, A.; Goldust, M.; Olszewska, M.; Rudnicka, L. -
Sick and Woundedi
FM 8-45 WAR DEPARTMENT MEDICAL FIELD MANUAL RECORDS OF MORBIDITY AND MORTALITY (SICK AND WOUNDEDI FM 8-45 MEDICAL FIELD MANUAL RECORDS OF MORBIDITY AND MORTALITY (SICK AND WOUNDED) Prepared under direction of The Surgeon General UNITED STATES GOVERNMENT PRINTING OFFICE WASHINGTON : 1940 For sale by the Superintendent of Documents, Washington, D. C. - Price 25 cents WAR DEPARTMENT, Washington, October 1, 1940. FM 8-45, Medical Field Manual, Records of Morbidity and Mortality (Sick and Wounded), is published for the in- formation and guidance of all concerned. [A. G. 062.11 (6-15-40).] order of the Secretary of War: G. C. MARSHALL, Chief of Staff. Official : E. S. ADAMS, Major General, The Adjutant General, TABLE OF CONTENTS Section I. General. Paragraph Page Purpose of records of morbidity and mortality 1 1 II. Register of Sick and Wounded. General 2 1 Method of keeping 3 2 Personnel to be registered 4 2 Initiation of 5 4 Recording 6 5 Register number 7 5 Name 8 5 Army serial number 9 6 Grade, company, regiment, or arm or service 10 6 Age, years 11 6 Race 12 6 Nativity 13 7 Service, years 14 7 Date of admission 15 7 Source of admission 16 7 Cause of admission 17 8 Line of duty 18 12 Injury code 19 15 Change of diagnosis 20 15 Complications 21 15 Intercurrent diseases 22 15 Surgical operations 23 15 Treatment in hospital, dispensary, or quarters 24 16 Disposition of patients 25 16 Date of disposition 26 19 Name of hospital, etc 27 19 Month of report 28 19 Days of treatment 29 19 Responsible officer, who signs or initials cards 30 19 Information to be furnished by commanding officer 31 20 Alterations and additions to regis- ter cards 32 20 How filed 33 21 III. -
Pili Torti: Clinical Findings, Associated Disorders, and New Insights Into Mechanisms of Hair Twisting
CONTINUING MEDICAL EDUCATION Pili Torti: Clinical Findings, Associated Disorders, and New Insights Into Mechanisms of Hair Twisting Paradi Mirmirani, MD; Sara S. Samimi, MD; Eliot Mostow, MD, MPH RELEASERELEASE DATE:DATE: AugustSeptember 2009 2009 TERMINATIONTERMINATION DATE:DATE: AugustSeptember 2010 2010 TheThe estimatedestimated timetime toto completecomplete thisthis activityactivity isis 11 hour.hour. GGOALOAL ToTo understandunderstand primarypili torti tocutaneous better manage nodular patients amyloidosis with the(PCNA) condition to better manage patients with the condition LLEARNINGEARNING OBJOBJECTIECTIVVESES UponUpon completioncompletion ofof thisthis activity,activity, youyou willwill bebe ableable to:to: 1.1. RecognizeDistinguish thepili clinicaltorti from presentation other hair shaftof PCNA. disorders. 2.2. DiscussList conditions the pathophysiology frequently associated of PCNA. with pili torti. 3.3. DistinguishExplain the primarypathophysiologic systemic amyloidosismechanisms from that PCNAcan lead based to pili on torti. clinical and laboratory findings. IINTENDEDNTENDED AAUDIENCEUDIENCE ThisThis CMECME activityactivity isis designeddesigned forfor dermatologistsdermatologists andand generalgeneral practitioners.practitioners. CMECME TestTest andand InstructionsInstructions onon pagepage 107.148. ThisThis articlearticle hashas beenbeen peerpeer reviewedreviewed andand approvedapproved byby CollegeCollege ofof MedicineMedicine isis accreditedaccredited byby thethe ACCMEACCME toto provideprovide MichaelMichael Fisher,Fisher, -
•Nail Structure •Nail Growth •Nail Diseases, Disorders, and Conditions
•Nail Structure Nail Theory •Nail Growth •Nail Diseases, Disorders, and Conditions Onychology The study of nails. Nail Structure 1. Free Edge – Extends past the skin. 2. Nail Body – Visible nail area. 3. Nail Wall – Skin on both sides of nail. 4. Lunula – Whitened half-moon 5. Eponychium – Lies at the base of the nail, live skin. 6. Mantle – Holds root and matrix. Nail Structure 7. Nail Matrix – Generates cells that make the nail. 8. Nail Root – Attached to matrix 9. Cuticle – Overlapping skin around the nail 10. Nail Bed – Skin that nail sits on 11. Nail Grooves – Tracks that nail slides on 12. Perionychium – Skin around nail 13. Hyponychium – Underneath the free edge Hyponychium Nail Body Nail Groove Nail Bed Lunula Eponychium Matrix Nail Root Free Edge Nail Bed Eponychium Matrix Nail Root Nail Growth • Keratin – Glue-like protein that hardens to make the nail. • Rate of Growth – 4 to 6 month to grow new nail – Approx. 1/8” per month • Faster in summer • Toenails grow faster Injuries • Result: shape distortions or discoloration – Nail lost due to trauma. – Nail lost through disease. Types of Nail Implements Nippers Nail Clippers Cuticle Pusher Emery Board or orangewood stick Nail Diseases, Disorders and Conditions • Onychosis – Any nail disease • Etiology – Cause of nail disease, disorder or condition. • Hand and Nail Examination – Check for problems • Six signs of infection – Pain, swelling, redness, local fever, throbbing and pus Symptoms • Coldness – Lack of circulation • Heat – Infection • Dry Texture – Lack of moisture • Redness -
The Dermatalogy Lexicon Project (DLP)
Rochester Institute of Technology RIT Scholar Works Presentations and other scholarship 2005 The eD rmatalogy Lexicon Project (DLP) Hintz Glen Follow this and additional works at: http://scholarworks.rit.edu/other Recommended Citation Glen, Hintz, "The eD rmatalogy Lexicon Project (DLP)" (2005). Accessed from http://scholarworks.rit.edu/other/780 This Scholarly Blog, Podcast or Website is brought to you for free and open access by RIT Scholar Works. It has been accepted for inclusion in Presentations and other scholarship by an authorized administrator of RIT Scholar Works. For more information, please contact [email protected]. index Page 1 of 1 http://www.rit.edu/~grhfad/DLP2/ 10/25/2006 index Page 1 of 1 http://www.rit.edu/~grhfad/DLP2/ 10/25/2006 DLP Viewer Page 1 of 1 Search the DLP options: 654321 Partial match 65432 Exact match 65432 by ID http://dlp.futurehealth.rochester.edu/viewer/viewer.jsp?username=tlevee&password=dlp02 10/25/2006 index Page 1 of 1 http://www.rit.edu/~grhfad/DLP2/ 10/25/2006 DLP abcess - bulla Page 1 of 1 abscess - bulla A annular asymmetric bilateral Ring shaped. 1. Pertaining to an individual lesion: Occurring or appearing on both sides abscess Unequal shape from side to side. 2. of the body, e.g., left and A localized accumulation of pus in the Pertaining to a body distribution: right arm. dermis or subcutaneous tissue. Unequal distribution of lesions on both Frequently red, warm, and tender. sides of body. Blaschko lines A skin pattern due to developmental atrophy processes usually consisting of A thinning of tissue modified by the or whorls that do not follow vascular or location, e.g., epidermal atrophy, neural structures. -
Review Article
Review Article Nail changes and disorders among the elderly Gurcharan Singh, Nayeem Sadath Haneef, Uday A Department of Dermatology and STD, Sri Devaraj Urs Medical College, Tamaka, Kolar. India Address for correspondence: Dr. Gurcharan Singh, 108 A, Jal Vayu Vihar, Kammanhalli, Bangalore-560043, India. E-mail: [email protected] ABSTRACT Nail disorders are frequent among the geriatric population. This is due in part to the impaired circulation and in particular, susceptibility of the senile nail to fungal infections, faulty biomechanics, neoplasms, concurrent dermatological or systemic diseases, and related treatments. With aging, the rate of growth, color, contour, surface, thickness, chemical composition and histology of the nail unit change. Age associated disorders include brittle nails, trachyonychia, onychauxis, pachyonychia, onychogryphosis, onychophosis, onychoclavus, onychocryptosis, onycholysis, infections, infestations, splinter hemorrhages, subungual hematoma, subungual exostosis and malignancies. Awareness of the symptoms, signs and treatment options for these changes and disorders will enable us to assess and manage the conditions involving the nails of this large and growing segment of the population in a better way. Key Words: Nail changes, Nail disorders, Geriatric INTRODUCTION from impaired peripheral circulation, commonly due to arteriosclerosis.[2] Though nail plate is an efficient Nail disorders comprise approximately 10% of all sunscreen,[3,4] UV radiation may play a role in such dermatological conditions and affect a high percentage changes. Trauma, faulty biomechanics, infections, of the elderly.[1] Various changes and disorders are seen concurrent dermatological or systemic diseases and in the aging nail, many of which are extremely painful, their treatments are also contributory factors.[5,6] The affecting stability, ambulation and other functions. -
Dermatology Research Within the Department of Defense
SPECIAL FEATURE Dermatology Research Within the Department of Defense COL Leonard Sperling, MC, USA Dermatologists in the US Department of Defense In the second phase of the study, the beard area in have made numerous research contributions patients with PFB was treated, with a 7-fold reduction over the past several decades. This article in lesion counts in the treatment sites as compared focuses on research performed during the past with the control sites (Figure 1). Ross and colleagues few years. Space does not permit a complete demonstrated that the Nd:YAG laser was a safe and discussion of all research activities of the numer- effective option for reducing hair and subsequent ous Department of Defense investigators, and papule formation in patients with PFB.1,2 This modal- this review concentrates on the work of a few ity is now widely used at military medical facilities. physicians who have made an impact in 4 areas Ross and colleagues3 also recently explored the of dermatologic research. use of lasers in the treatment of acne vulgaris. Using Cutis. 2004;74:44-48. a rabbit ear model, they treated test areas with a 1450-nm laser with cryogen spray cooling. This treatment modality produced short-term thermal Laser Research alteration of sebaceous glands with epidermal An active duty Navy dermatologist serving at the preservation. The investigators then demonstrated Naval Medical Center in San Diego, CAPT E. Victor the same phenomenon using ex vivo human skin Ross, MC, USN, is an authority and pioneer in specimens. The method was subsequently tested laser medicine and its applications for the treat- on acne lesions on the backs of patients, achiev- ment of skin disease.