Degradation of Fingernail Composition from Exposure to Industrial Chemicals

Total Page:16

File Type:pdf, Size:1020Kb

Degradation of Fingernail Composition from Exposure to Industrial Chemicals 25 JEFSR Vol. 5 No. 1 2020 Degradation of Fingernail Composition from Exposure to Industrial Chemicals Theresa Tran, B.FSc.and Dr. Pardeep Jasra Abstract The application of fingernails as biomarkers have increased within forensic science as a better tissue sample to analyze when it comes to chemical exposure and biological substances being accumulated within fingernails. Due to their structure and properties, they have the ability to retain a discrete record of detailed information on drug use, pathology, diet and location history as well as exposure to explosives residues, occupational chemicals or other pollutants. This research observed how certain industrial chemicals affect the composition of fingernails when exposed to them for a certain prolonged period of time Hydrochloric acid was the most destructive chemical used, degrading fingernail samples within a week. Sodium hydroxide was the second most destructive chemical, where samples after week 1 became degraded. Sulfuric acid was the third most destructive chemical, degrading samples after week 3. Paint and cyanoacrylate did not degrade samples but concealed all morphological features. Acetone and bleach had an insignificant effect in degradation. Keywords: Fingernail, Human exposure, Industrial chemicals, Forensics, Biomarker 26 JEFSR Vol. 5 No. 1 2020 Introduction Fingernails and toenails are a characteristic feature that are only seen on primates. They are dead cells that are comprised of 3 layers of highly keratinous tissue: narrow dorsal, harder intermediate, and narrow ventral, that are laid down by the matrix at the base and below the nail (Farren, Shayler, & Ennos, 2004). As the cells are produced continuously and become keratinized, they will be compacted and eventually adhere together before being forced down the nail bed. It is sealed by the hyponychium, where the free edge of the nail is connected. Because of how keratinized our nails are, the toughness protects our nails from any exterior damage that could affect our nail health. Any interruptions will cause the nail to thin, discolour, split or continue degrading. The human nail is as permeable as skin, so substances can be absorbed in the nail to determine long- term exposure, whether it is identifying systemic intoxication from alcohol, drugs, or certain environmental exposures (Ibrahim et al, 2014). Sources of exposure could be from occupational exposure to certain chemicals or from the environment that a body has been found in, whether it was intentional or accidental. Chemicals used intentionally as a mean to dispose victims because depending on the corrosiveness of the chemical, it is able to destroy and dissolve the body, which makes it possible to prevent positive identification. The body can even dissolution in various household chemicals because they are easily obtainable (Hartnett, Fulginiti, & Modica, 2011). Properties of fingernails depend on the stress from occupations and environment. When exposed to chemicals that are potentially harmful or toxic, it will have an effect on the structure and composition of fingernails and can be utilized in examining any degradation, which can be useful within forensics because it can be used as a method for human identification and can employ morphological traits that assists in forensic onychology: the study of fingernails and toenails for better administration of justice in the court of law (Parmar & Rathod, 2012). Fingernails are also easier to collect than other biological samples, easy to handle and store and are able to be reproduced to repeat an experiment. Only a small sample size is required for analysis and the sampling process is relatively noninvasive and non-destructive, which are important for human identification. There have been limited researches done that examined occupational exposure, with less extent applicable to forensic science. An analysis by Schumachera, Dindorf, & Dittmarc (2009) examined how exposure to toxic agents altered organic elemental composition in human fingernails, using painters & hairdressers as participants since those professions are often in contact with chemical agents. They observed that there were significant alterations in elemental composition. In addition, Peters, Gammelgaard and Menne (1991) study used adult fingernails to examine nickel concentration, due to contact dermatitis caused by nickel sensitivity and investigated if there is a correlation between the nickel concentration in nails and the duration 27 JEFSR Vol. 5 No. 1 2020 of the exposure. Within the first 12 months of exposure, they found no correlation between the nickel content in nails and the duration of exposure. They did find however, the heavier the nickel exposure, the higher the nickel levels in the fingernails were, proving that nickel concentration in fingernails is dependent on intensity of the exposure. There has been no research done that solely focused on the degradation effect of fingernails, but there has been research that examined corrosive substances and the damage they have on both hard and soft tissue for human remains. A targeted area of the human body that is often corroded is the craniofacial region (Maki, 2017), specifically the teeth because dentition has been studied to examine the effects using strong chemicals, as well as using dental records for positive identification (Tuominen et al, 1989; Ubelaker & Sperber, 1988; Mazza et al, 2005; Cope & Dupras, 2009). Notable exception includes the analysis hard and soft tissue by Hartnett, Fulginiti, & Modica, 2011. They used 6 commonly available chemical substances: hydrochloric acid, sulfuric acid, household lye, bleach, a 100% natural active bacteria and enzyme product, and a cola soft drink on bone, teeth, hair, fingernails and soft tissue (skin, fat, muscle). The primary objective of this project is two-fold. The first objective will examine how certain industrial chemicals affect the composition of fingernails when exposed to them in fume for a prolonged period of time, which will represent workplace exposure. The second objective will determine how long it will take for the fingernails to be dissolved in a particular chemical, which will represent the disposal of a body and how to link it to a specific chemical for environmental purposes for forensic investigations. Methodology Questionnaire All participants completed a self-designed questionnaire with respect to their health and dietary lifestyle. The questionnaire for each participant was filled out to obtain information to take into account their gender, age, ethnicity, if they have taken any supplements provided on the questionnaire and if they have a specific dietary restriction. This was to take in account any differences in the rate of degradation or no degradation. Participants The participation of adults in this research were voluntary and were contacted through the research recruitment poster for this experiment in January 2018 on the University of Windsor campus. The research protocol was approved by the University of Windsor Research Ethics Board (REB) prior to data collection and all participants signed a consent form, informing them of this experiment. Composition of the free edge of the nail 28 JEFSR Vol. 5 No. 1 2020 were examined from 7 healthy adults (3 females and 4 males) with the age range between 19-23. Out of these adults, 5 are Caucasian, 1 is Asian-Canadian and 1 is Caribbean-Canadian. Exclusion criteria were nail polish, coatings and the use of nail cosmetics, such as acrylic nails currently present on the nail. In all participants, hands were washed prior to removal. Free edges of the fingernail clippings were collected from each finger on both hands to collect a total of 25 fingernail clippings using stainless steel nail clippers and were sanitized with hot water and soap. Materials and Methods The fingernail samples were placed in either a paper envelope or druggiest fold using bindle paper to be stored. A total of 7 chemicals were used: Sodium hydroxide (NaOH), Cyanoacrylate, Paint (Tremclad® rust paint in semi-gloss white), Comet bleach powder, Hydrochloric acid (HCl) Acetone & Sulfuric acid (N2SO4). MSDS was researched to ensure proper handling of chemicals for safety precautions (Chemical Safety Software, 2018). Of these chemicals, paint was bought, bleach and sodium hydroxide were prepared by dissolving them, and the rest were provided by the University of Windsor. They were chosen for this experiment because they are chemicals that we come into contact with, either through occupational exposure or environmental exposure and have been categorized (Table 1). Distilled water was used to clean all the nails prior to exposure. Nails prior to being submerged were cut to eliminate the curvature of each nail to make it easier to place on a microscopic slide. Degradation was observed on a weekly basis, up to 4 weeks. For each week, there were 3 test tubes trials that were filled approximately halfway for each of the chemicals used. Hydrochloric acid was only tested up to 3 weeks because of how rapidly hydrochloric acid dissolves human tissues (Hartnett, Fulginiti, & Modica, 2011). 2 fingernails were placed in each test tube to maintain accuracy throughout the experiment. 24 fingernails were submerged for each individual chemical, except for hydrochloric acid, which had 18 fingernails submerged. Each test tube was placed in a test tube rack inside a fume hood in a laboratory setting with ambient temperature. The specimens were not disturbed during the course of the experiment, and additional
Recommended publications
  • Nail Anatomy and Physiology for the Clinician 1
    Nail Anatomy and Physiology for the Clinician 1 The nails have several important uses, which are as they are produced and remain stored during easily appreciable when the nails are absent or growth. they lose their function. The most evident use of It is therefore important to know how the fi ngernails is to be an ornament of the hand, but healthy nail appears and how it is formed, in we must not underestimate other important func- order to detect signs of pathology and understand tions, such as the protective value of the nail plate their pathogenesis. against trauma to the underlying distal phalanx, its counterpressure effect to the pulp important for walking and for tactile sensation, the scratch- 1.1 Nail Anatomy ing function, and the importance of fi ngernails and Physiology for manipulation of small objects. The nails can also provide information about What we call “nail” is the nail plate, the fi nal part the person’s work, habits, and health status, as of the activity of 4 epithelia that proliferate and several well-known nail features are a clue to sys- differentiate in a specifi c manner, in order to form temic diseases. Abnormal nails due to biting or and protect a healthy nail plate [1 ]. The “nail onychotillomania give clues to the person’s emo- unit” (Fig. 1.1 ) is composed by: tional/psychiatric status. Nail samples are uti- • Nail matrix: responsible for nail plate production lized for forensic and toxicology analysis, as • Nail folds: responsible for protection of the several substances are deposited in the nail plate nail matrix Proximal nail fold Nail plate Fig.
    [Show full text]
  • Study Guide Medical Terminology by Thea Liza Batan About the Author
    Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails ­proficiency­in­communicating­with­healthcare­professionals­such­as­physicians,­nurses,­ or dentists.
    [Show full text]
  • Pedicure: Nail Enhancements
    All Hair Services Include Shampoo All Services Based on Student Availability Long Hair is Extra & Senior Price Available Hair Cuts: Color: (Does Not Include Cut & Style) Hair Cut (Hood dryer) $6.50 Retouch/Tint/PM Shine $14.50 With Blowdry $13.50 Additional Application $8.00 With Blowdry & Flat Iron $21.50 Color (All over color) $20.00 Foils Each $4.00 Hair Styles: Hair Length to Collar $38.00 Shampoo/Set $6.75 Hair Length to Shoulder $48.00 Spiral Rod Set $20.00 Hair Length past Shoulder $58.00 Shampoo/ Blowdry $9.00 Frosting with Cap $17.50 With Thermal Iron $13.00 Men’s Comb Highlight with Cut $15.00 With Flat Iron $15.00 With Press & Curl $18.00 Perms & Relaxers: (Includes Cut & Style) Wrap Only $6.50 Regular or Normal Hair $20.95 Wrap with Roller Set $10.50 Resistant or Tinted Hair $26.00 Fingerwaves with Style $17.50 Spiral or Piggyback $36.00 Twists $3.00 Relaxer $35.00 Straight Back $20.00 Curled $15.00 Other Hair Services: Spiral $20.00 Shampoo Only $2.00 French Braids with Blowdry $15.00 Line-up $3.00 Under 10 Braids $20.00 Deep Condition $5.00 Over 10 Braids $25.00 Keratin Treatment $15.00 Braid Removal $15.00 Updo or French Roll $20.00 Manicure: Spa Manicure $9.50 Waxing: French Manicure $8.00 Brow $6.00 Manicure $6.42 Lip $5.00 Chin $5.00 Pedicure: Full Face $15.00 Spa Pedicure $20.00 Half Leg $15.00 French Pedicure $17.00 Full Leg $30.00 Pedicure $15.00 Underarm $15.00 Half Arm $10.00 Nail Enhancements: Full Arm $15.00 Shellac (French $2) $15.00 Mid Back & Up $15.00 Overlay (Natural Nail) $12.00 Full Back $25.00 Acrylic Full Set $16.50 Bikini $25.00 Gel Full Set $18.00 Fill-in Gel & Acrylic $12.00 Massages: Nail Repair( Per Nail) $2.00 Relaxation $15.00 Soak Off $3.00 Deep Tissue $19.95 Nail Art (Per Nail) $1.00 Other Nail Services: Nails & Waxing Services Taxable Polish Change $4.00 Nails Clipped $5.00 Paraffin Dip Wax $5.00 .
    [Show full text]
  • Tasmanian Hardwood Strip Flooring on Joists Guide for Installing
    TASMANIAN HARDWOOD STRIP FLOORING ON JOISTS installation guide These instructions apply to quality Tasmanian strip flooring fixed over joists in residential applications. STRIP FLOOR ON JOISTS TOP NAILED SECRET NAILED END MATCHED TOOLS Simple tools are adequate in most applications. Necessary tools are: Tool Requirement Checklist Pencil, tape measure and square Hammer, punch and nail bag Stringline, spirit level and straight edge Hand saw and jig saw Safety glasses, dust mask and knee pads Spacers (about 100mm long and 2 mm thick) Rubber mallet, broom and vacuum cleaner Framing chisel For specialist applications, a drop saw, an air power staple gun, a power actuated fastener system and a cramping system may be useful. MATERIALS Use quality boards of the correct thickness. Grade descriptions for strip flooring are set out in the Australian Standard AS 2796 and are available at: www.tastimber.tas.gov.au. Boards at least 19 mm thick are needed to span 450 mm. Board width - Only secret nail boards up to 85 mm cover width. Secret nailed flooring is fixed through the tongue of specially profiled boards. Since they are only secured with one fastener per joist or batten, their width is limited to 85 mm cover. Board over 85 cover must be top nailed with two fasteners per joist. Use the correct nails for the job. The nail sizes required by Australian Standard 1684 are: Nail sizes for T & G flooring to joists* Nail sizes for T & G flooring to plywood substrate* Nailing Softwood Hardware & Strip flooring Rec. nailing (min.15mm substrate) joists cypress joists thicknes (mm) Hand 65 x 2.8 mm 50 x 2.8 mm 38 x 16 guage chisel point staples or driven bullet head bullet head 19 or 20 38 x 2.2 mm nails at 300mm spacing 32 x 16 guage chisel point staples or Machine 12,19 or 20 driven 65 x 2.5 mm 50 x 2.5 mm 30 x 2.2 mm nails at 200mm spacing *Alternative fasteners can be used for substrates types not listed subject to manufacturers’ recommendation.
    [Show full text]
  • Regional Handwashing Policy
    SOUTHERN CALIFORNIA GRADUATE MEDICAL EDUCATION POLICY AND PROCEDURE POLICY INFECTION PREVENTION AND CONTROL POLICIES EFFECTIVE DATE: SECTION: AND PROCEDURES 7/1/2014 TITLE: Hand Health & Hygiene Page: 1 of 8 BACKGROUND Studies have shown that handwashing causes a reduction in the carriage of potential pathogens on the hands. Microorganisms proliferate on the hands within the moist environment of gloves. Handwashing results in the reduction of patient morbidity and mortality from health care associated infections. The Centers for Disease Control and Prevention states that handwashing is the single most important procedure for preventing health-care associated infections. Artificial nails are more likely than natural nails to harbor pathogens that can lead to health care associated infections. There are four types of hand washing (see body of policy for detailed instructions): TYPE PURPOSE METHOD Routine Handwashing To remove soil and transient Wash hands with soap and microorganisms. water for at least 15 seconds. Hand antisepsis To remove soil and remove or Wash hands with antimicrobial destroy transient soap and water for at least 15 microorganisms. seconds. Hand rub/degerming To destroy transient and Rub alcohol-based hand resident microorganisms on degermer into hands vigorously UNSOILED hands. until dry. Surgical hand scrub To remove or destroy transient Wash hands and forearms with microorganisms and reduce antimicrobial soap and water resident flora. with brush to achieve friction. Or alcohol-based preparation rubbed vigorously
    [Show full text]
  • White Nail As a Static Physical Finding: Revitalization of Physical Examination
    Case Report White Nail as a Static Physical Finding: Revitalization of Physical Examination Ryuichi Ohta 1,* and Chiaki Sano 2 1 Community Care, Unnan City Hospital, 699-1221 96-1 Iida, Daito-cho, Unnan 699-1221, Shimane Prefecture, Japan 2 Department of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya cho, Izumo 693-8501, Shimane Prefecture, Japan; [email protected] * Correspondence: [email protected]; Tel.: +81-9050605330 Abstract: Physical examinations are critical for diagnosis and should be differentiated into static and dynamic categories. One of the static findings is white nail, such as Terry’s and Lindsay’s nails. Here, we report the cases of two older patients with acute diseases who had nail changes that aided evaluation of their clinical course. Two elderly women who presented with acute conditions were initially thought to have normal serum albumin levels. They were found to have white nail with differences in nail involvement of the first finger, which subsequently revealed their hypoalbuminemia. The clinical courses were different following the distribution of nail whitening. Our findings show that examination of a white nail could indicate the previous clinical status more clearly than laboratory data. It can be useful for evaluating preclinical conditions in patients with acute diseases. Further evaluation is needed to establish the relationship between clinical outcomes and the presence of white nail in acute conditions among older patients. Citation: Ohta, R.; Sano, C. White Keywords: Lindsay’s nail; nail findings; nutritional assessment; physical examination; Terry’s nail; Nail as a Static Physical Finding: white nail Revitalization of Physical Examination.
    [Show full text]
  • Pretty Scary 2 Unmasking Toxic Chemicals in Kids’ Makeup
    Prevention October 2016 Starts Here Campaign for Safe Cosmetics Pretty Scary 2 Unmasking toxic chemicals in kids’ makeup breastcancerfund.org 1 Acknowledgements Developed and published by the Breast Cancer Fund and spearheaded by their Campaign for Safe Cosmetics, this report was written by Connie Engel, Ph.D.; Janet Nudelman, MA; Sharima Rasanayagam, Ph.D.; Maija Witte, MPH; and Katie Palmer. Editing, messaging and vision were contributed by Denise Halloran and Erika Wilhelm. Sara Schmidt, MPH, MSW, coordinated the purchasing of products reviewed in this report and worked closely with partners to share the message. Thank you to James Consolantis, our contributing content specialist and Rindal&Co for design direction. WE ARE GRATEFUL FOR THE GENEROUS CONTRIBUTIONS FROM OUR FUNDERS: As You Sow Foundation, Jacob and Hilda Blaustein Foundation, Lisa and Douglas Goldman Foundation, Park Foundation, Passport Foundation, and the Serena Foundation. breastcancerfund.org 2 Our partners in purchasing products Pam Miller, Alaska Community Action on Toxics, Alaska Brooke Sarmiento, BEE-OCH Organics, Colorado Sara Schmidt, Breast Cancer Fund, California Susan Eastwood, Clean Water Action, Connecticut Anne Hulick, Clean Water Action, Connecticut Johnathan Berard, Clean Water Action, Rhode Island Lauren Carson, Clean Water Action, Rhode Island Cindy Luppi, Clean Water Action, Massachusetts Kadineyse Ramize Peña, Clean Water Action, Massachusetts Elizabeth Saunders, Clean Water Action, Massachusetts Sara Lamond, Fig & Flower, Georgia Beverly Johnson,
    [Show full text]
  • Management of Ingested Foreign Bodies in Children: a Clinical Report of the NASPGHAN Endoscopy Committee
    COMMITTEE COMMENTARY Management of Ingested Foreign Bodies in Children: A Clinical Report of the NASPGHAN Endoscopy Committee ÃRobert E. Kramer, yDiana G. Lerner, zTom Lin, §Michael Manfredi, jjManoj Shah, ôThomas C. Stephen, #Troy E. Gibbons, ÃÃHarpreet Pall, yyBen Sahn, zzMark McOmber, §§George Zacur, ÃJoel Friedlander, jjjjAntonio J. Quiros, ôôDouglas S. Fishman, and ##Petar Mamula ABSTRACT ingestion. Furthermore, changes in the types of ingestions encountered, Foreign body ingestions in children are some of the most challenging clinical specifically button batteries and high-powered magnet ingestions, create scenarios facing pediatric gastroenterologists. Determining the indications an even greater potential for severe morbidity and mortality among and timing for intervention requires assessment of patient size, type of object children. As a result, clinical guidelines regarding management of these ingested, location, clinical symptoms, time since ingestion, and myriad other ingestions in children remain varied and sporadic, with little in the way of factors. Often the easiest and least anxiety-producing decision is the one to prospective data to guide their development. An expert panel of pediatric proceed to endoscopic removal, instead of observation alone. Because of endoscopists was convened and produced the present article that outlines variability in pediatric patient size, there are less firm guidelines available to practical clinical approaches to the pediatric patient with a variety of determine which type of object will safely pass, as opposed to the clearer foreign body ingestions. This guideline is intended as an educational tool guidelines in the adult population. In addition, the imprecise nature of the that may help inform pediatric endoscopists in managing foreign body ingestions in children.
    [Show full text]
  • The Older Woman with Vulvar Itching and Burning Disclosures Old Adage
    Disclosures The Older Woman with Vulvar Mark Spitzer, MD Itching and Burning Merck: Advisory Board, Speakers Bureau Mark Spitzer, MD QiagenQiagen:: Speakers Bureau Medical Director SABK: Stock ownership Center for Colposcopy Elsevier: Book Editor Lake Success, NY Old Adage Does this story sound familiar? A 62 year old woman complaining of vulvovaginal itching and without a discharge self treatstreats with OTC miconazole.miconazole. If the only tool in your tool Two weeks later the itching has improved slightly but now chest is a hammer, pretty she is burning. She sees her doctor who records in the chart that she is soon everyyggthing begins to complaining of itching/burning and tells her that she has a look like a nail. yeast infection and gives her teraconazole cream. The cream is cooling while she is using it but the burning persists If the only diagnoses you are aware of She calls her doctor but speaks only to the receptionist. She that cause vulvar symptoms are Candida, tells the receptionist that her yeast infection is not better yet. The doctor (who is busy), never gets on the phone but Trichomonas, BV and atrophy those are instructs the receptionist to call in another prescription for teraconazole but also for thrthreeee doses of oral fluconazole the only diagnoses you will make. and to tell the patient that it is a tough infection. A month later the patient is still not feeling well. She is using cold compresses on her vulva to help her sleep at night. She makes an appointment. The doctor tests for BV.
    [Show full text]
  • Anatomy and Physiology of the Nail
    Anatomy and physiology of the nail Christian Dumontier Institut de la Main & hôpital saint Antoine, Paris Anatomy of the nail • The osteo-ligamentous support • Nail plate • All surrounding tissues, i.e. the perionychium The distal phalanx • Is reinforced laterally by the the Flint’s ligament • Which protect the neuro-vascular structures Flint’s ligament The ligamentous support • The nail is fixed onto the bone through a highly vascularized dermis • The nail is fixed onto the bone through two strong ligaments The ligamentous structures • All the ligaments merge together with • The extensor tendon • The flexor tendon • The collateral ligaments • Flint’s ligament • Guero’s dorsal ligament • (Hyponychial ligament) Clinical implications • A normal nail cannot grow on an abnormal support +++ • Large phalanx = racket nails • bony malunion = nail dystrophy • arthrosis = Pincer nail,... The nail plate • Is produced by the germinal matrix • ItsKeratinic shape depends structure, on the bonypartiall supporty transparent and the and integritycurved both of the longitudinall soft-tissuesy arandound transv it ersally • Three different layers • 0,5 mm thickness, 20% of water Clinical applications • The nail plate is often intact in crushing trauma due to its flexibility • And must be removed in order to explore all the lesions +++ The perionychium • Include all the soft- tissues located under the nail plate • Nail (germinal) matrix, • Nail bed, • Hyponychium The perionychium • Soft-tissues aroud the plate (paronychium) proximal and lateral nail wall (fold)
    [Show full text]
  • Footcare Update Expert Care from Professionals Who Care
    FootCare Update Expert care from professionals who care. Volume III, No. 6; Revised Winter, 2006 Patients and their Physicians always benefit when.... DPM’s provide a simple, permanent solution to correct painful or infected ingrown nails. normal skin flora and setting up a ail structure (an inherited char- nidus for infection. acteristic), combined with nor- N 3) Infection (Pyogenic Granuloma) mal shoe gear, is the source of identifies reactive inflammatory tis- ingrown nail pain and/or infection. sue, the result of indwelling of the “Contrary to popular belief, ingrown source of irritation (the nail plate). nails are not a product of incorrect Over 99% of all hypertrophic tissue nail cutting,” said Kenneth Leavitt, identified as pyogenic granuloma is D.P.M., of Brookline, MA. benign and will atrophy upon removal The prevalence of ingrown nails is of the offending nail plate and resolu- highest when individuals wear shoes, tion of the infection with antibiotics. regardless of race, gender or country Pre-Op: Typical incurved nail plate bor- Very rarely will a chronic granuloma of origin. der (left) with infection. become basal or squamous cell carci- The painful or infected ingrown noma. “Reconstruction of chronic nail condition usually affects the great done on each of his great toes. hypertrophic tissue is rarely neces- toe, but also can affect lesser digits. Avulsion does resolve the problem temporarily, but the nail always grows sary,” Leavitt said. Traditional Treatment Ineffective back thicker and more incurvated, due Quick Surgery Best Treatment Ingrown nail treatment, sadly, is to trauma incurred to the nail matrix. for 95% of Patients still anecdotal throughout most of the Removing the offending portion of world, according to Dr.
    [Show full text]
  • 9 Nail Problems You Shouldn't Ignore
    menshealth.com http://www.menshealth.com/health/nail-problems-you-shouldnt-ignore 9 Nail Problems You Shouldn’t Ignore Next Your eyes may offer a glimpse of your soul—but for a view of your internal organs, check your fingers and toes instead. “Your nails can tell a tremendous amount of information about your general health,” says Dana Stern, M.D., a dermatologist and nail specialist in New York City. “Certain nail changes can indicate issues with the kidneys, infections of the heart, anemia, lung disease, and even exposure to certain poisons.” That’s because diseases that affect your whole body can change the blood flow, growth patterns, or shape of your fingernails and toenails in ways you may notice long before any other symptoms, says Chris Adigun, M.D., a board certified dermatologist and nail specialist in Chapel Hill, N.C. So if you spy something new or unusual on the ends of your digits, check in with your primary care doctor or a dermatologist, she advises. Treating the underlying condition often can save your nails—and maybe even your life. Advertisement Daily Dose You may unsubscribe at any time. menshealth.com http://www.menshealth.com/health/nail-problems-you-shouldnt-ignore/1-koilonychia-or-spoon-nails 9 Nail Problems You Shouldn’t Ignore 1. Koilonychia or “spoon nails" PrevNext You could hold a drop of liquid inside these nails’ concave shape, says Al D’Angelantonio III, D.P.M., who sees and treats toenail problems as a foot and ankle surgeon at Penn Medicine. Spoon nails can serve as a red flag for iron- deficiency anemia, low blood oxygen levels from not taking in or absorbing enough iron.
    [Show full text]