Intended for healthcare professionals

Nail fold changes in the fingers

I remember, when doing the MRCP examination, using the term ‘nail fold changes’ and thinking that it was a sign of my expertise that I had managed not only to look at the nail folds, but also to determine that they had changed in some way. A few years and some thought later, I realise that there is much to be analysed in the appearance of the nail folds. They can provide the focus of a complaint, presenting with their own collection of rashes, infections and tumours which require interpretation and an approach to treatment which can differ from treatment of the same condition presenting elsewhere.
Dermatology in practice 2000; 8(1): 20–22
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