Clinical, dermoscopic, and histopathological evaluations of patients
with nail disorders
Objective: This study aimed to assess the possible role of dermoscopy in
the diagnosis of different nail disorders compared with the clinical and
histopathological diagnosis. Methods: This study included 104 patients
with any nail disorders of both sex and any age. All the patients were
subjected to a detailed medical history taken, clinical general
examination, clinical and dermoscopic examinations of 20 nails.
Potassium hydroxide examination was used to examine all patients with
suspicious of onychomycosis. Histopathological evaluation was used to
examine of clinically ambiguous nail disorders. Results: The most common
nail diseases were onychomycosis (54.81%) followed by nail psoriasis
(19.2%), and nail lichen planus (3.8%). Conclusion: Clinical
evaluation was an important in diagnosis of different nail diseases.
Nail dermoscopy could confirm clinical diagnosis and help in getting an
accurate diagnosis of nail diseases and guide in the management of nail
diseases by permitting better visualization of nail structure and
pathology. Histopathological examination provided the most definitive
method in reaching an accurate diagnosis due to it could provide
etiologic, diagnostic, and prognostic information. There was good
agreement between clinical, dermoscopic, and histopathological
examinations for accurate diagnosis of different nail diseases.