Darier's disease, an unusual problem and solution

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• 作者：A. P. Sprowson ; S. L. A. Jeffery ; M. J. M. Black
• 关键词：Darier's ; nail ; skin graft
• 刊名：The Journal of Hand Surgery: British & European Volume
• 出版年：2004
• 出版时间：June 2004
• 年：2004
• 卷：29
• 期：3
• 页码：293-295
• 全文大小：174 K

文摘

A 46-year-old woman with Darier's disease was referred suffering from severe nail involvement. The patient suffered constant nail infections and an intolerable cycle of progressively more deformity.

On examination the patient's nails and nail folds were badly deformed.

Initially, as a test, a procedure was undertaken on the thumb alone. The operation was performed under tourniquet control with a digital nerve block. An eponychial flap was raised and nail complex excised. A full thickness skin graft was obtained from the groin. This was sutured into place with the proximal border of graft tucked under the eponychial fold. The results were excellent both surgically and cosmetically.

Subsequently, procedures were performed on the remaining nine digits.

Darier's disease is extremely variable in its degree of nail involvement. This case highlights a surgical intervention that may help people with intractable associated nail disease.