RT Book, Section
A1 Mayeaux, E.J.
A1 Clark, Joshua Rai
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114877760
T1 Psoriatic Nails
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114877760
RD 2024/04/19
AB A  3-year-old  girl  presents  with  one  year  of  rashes  from  head  to  toe  that  are  not  responding  to  topical  steroids.  The  girl’s  mother  and  her  chart  reflect  a  diagnosis  of  severe  atopic  dermatitis.  The  physician  meticulously  examines  the  girl’s  skin  and  nails  and  finds  splinter  hemorrhages,  pitting,  longitudinal  ridging  and  onycholysis  in  the  fingernails  with  splinter  hemorrhages  and  nail  thickening  of  the  toenails  (Figure  165-1).  With  this  new  information  in  mind,  the  physician  notes  other  skin  findings  that  are  more  suggestive  of  psoriasis  than  atopic  dermatitis.  This  careful  examination  of  the  nails  leads  the  clinician  to  the  correct  diagnosis  and  more  effective  treatment  of  the  psoriasis.