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A Double Case of Nail-Patella Syndrome in the Same Family: The Importance of Nail Changes as Diagnostic Clues for Renal Involvement
- Source :
- Skin Appendage Disord
- Publication Year :
- 2019
- Publisher :
- S. Karger AG, 2019.
-
Abstract
- Nail diseases are rarely given significant importance in general consultation and their specific examination is often neglected, while localization to the nails could be an initial sign of a syndrome or a systemic disorder. Although rarely, nail alterations could be a sign of a systemic disorder, in which a prompt observation is crucial for an early diagnosis. We describe the case of an elderly woman with a long history of nail dystrophy, previously labelled as nail fragility. On enquiry, similar nail changes were discovered to have affected the patient’s son, who was visited the following week. Diagnosis of the Nail-Patella Syndrome (NPS) was suspected on the basis of nail alterations in both patients and confirmed by complementary radiographic examination. Screening for severe renal complications, which could have negatively affected the prognosis and have led to end-stage renal disease, followed. The prompt diagnosis of NPS and the associated diseases are mandatory for a correct management of these patients.
- Subjects :
- medicine.medical_specialty
integumentary system
business.industry
Nail
Dermatology
Disease
medicine.disease
Clinical Investigations – Case Report
Noninvasive diagnosis
medicine.anatomical_structure
Nail pathology
Nail disease
medicine
Nail (anatomy)
Nail Changes
skin and connective tissue diseases
business
Nail fragility
NAIL DYSTROPHY
Nail patella syndrome
Subjects
Details
- ISSN :
- 22969160 and 22969195
- Volume :
- 5
- Database :
- OpenAIRE
- Journal :
- Skin Appendage Disorders
- Accession number :
- edsair.doi.dedup.....57bf47bf537e8371164eb512119ab75d
- Full Text :
- https://doi.org/10.1159/000501046