Nail dystrophy
Introduction
Introduction to malnutrition Nail malnutrition (naildystrophy): is a multi-factor caused by nail damage. Often involved all fingers, toenail. The patient's nails are thin, turbid, deformed, and fragile. The surface of the nail is tarnished and rough. There are often longitudinal and nail stripping. The fungal microscopy was negative. There is no effective treatment. In some patients, the condition gradually eases with age. A malnutrition mainly pays attention to strengthening nutrition, supplementing trace elements, rational intake of nutrients, and not picky eaters. basic knowledge Sickness ratio: 1%-3% Susceptible people: no special people Mode of infection: non-infectious Complications: skin diseases liver disease
Cause
Cause of malnutrition
Disease factors (75%):
Common in acquired dystrophy, many skin diseases such as psoriasis, malignant alopecia areata, lichen planus, syphilis, leprosy, systemic scleroderma, follicular keratosis, palmoplantar keratosis, premature aging, etc. A nutritional disorder.
Other factors (25%):
Systemic diseases such as nutritional deficiencies, hypothyroidism, poisoning, etc. can also be caused, such as trauma, frostbite, burns and many local factors can also cause, after the cause can be improved.
Prevention
Malnutrition prevention
A malnutrition mainly pays attention to strengthening nutrition, supplementing trace elements, rational intake of nutrients, and not picky eaters. The following foods should be selected:
First, calcium should eat more peanuts, spinach, soybeans, fish, kelp, bone soup, walnuts, shrimp, seaweed and other foods.
Second, copper should be eaten more brown rice, sesame seeds, persimmons, sports liver, pork, wolfberry, spinach, soybeans and other foods.
Third, iodine should eat more kelp, seaweed, sea fish, shrimp and so on.
Fourth, supplement phosphorus should eat more egg yolk, pumpkin seeds, grapes, cereals, peanuts, shrimp, chestnuts, apricots and so on.
Fifth, zinc supplementation should eat more semolina, tofu and other soy products, beef, lamb, fish, lean meat, peanuts, sesame seeds, dairy products, cocoa and other foods.
Sixth, supplement manganese should eat more semolina, soybeans, walnuts, lentils, kidneys, parsley.
Complication
Malnutrition complications Complications, skin disease, liver disease
Acquired malnutrition causes a poor growth of A can be caused by a variety of acute infectious diseases or other acute diseases caused by malnutrition; it can also be caused by chronic wasting diseases, especially liver disease, blood circulation disorders, lung dysfunction A malnutrition; skin diseases and trauma around a nail often lead to malnutrition.
Symptom
A malnutrition symptoms Common symptoms A dystrophy, alopecia, toenail, long, extensive osteoporosis
The 20 decks are thinner, with superficial and thin lines on the surface, longitudinal squats, especially smashed by sandpaper, the deck is dull, milky white and turbid, the nails are brittle and fragile, the free edges can be separated, and the layers are loose. Incision, A has a lot of mediastinum is the characteristics of this disease, no change under the armor and nail week, more common in children 18 months to 18 years old, disappeared in adults, it began to be called child 20 malnutrition, but the disease Also occurs in young people and adults, so now known as 20 A malnutrition, the cause is unknown, can be idiopathic, and some may be alopecia areata, psoriasis, lichen planus, eczema, onychomycosis, but no skin , hair, teeth and oral mucosal lesions.
Examine
A malnutrition check
Dermatological examination: hands, feet 20 fingers, toenail deck are thin, turbid and dull, rough surface, uneven bottom, astringent brittle and fragile, brittle, visible mediastinum, free edge with a separation.
Laboratory examination: liver and kidney function tests; scraping 20 diseased nail fragments for fungal direct microscopy and fungal culture.
Diagnosis
Diagnosis and diagnosis of malnutrition
Congenital hyperthyroidism is caused by autosomal dominant inheritance, congenital ectodermal dysplasia, or bullous epidermolysis, or hyperthyroid syndrome, or clubbing causes hypoplasia, developmental defects, congenital malformations Or secondary to systemic diseases caused by dominant inheritance.
Acquired dystrophy causes many causes of poor growth, which can be caused directly by nutritional deficiencies, including vitamin deficiency, iron deficiency anemia, etc.; it can be caused by various acute infectious diseases or other acute diseases caused by malnutrition; It can be caused by chronic wasting diseases, especially liver diseases, blood circulation disorders, and malnutrition caused by lung dysfunction; skin diseases and trauma around nails often lead to malnutrition.
Direct microscopic examination of fungi and fungal culture and hyperthyroidism are required.
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