title: Onychogryphosis in elderly persons: an indicator of long-standing poor nursing care? Report of one case and review of the literature.
abstract: A 92-year-old immobilized white woman under the daily nursing care of a private ambulatory nursing service displayed acquired deformities of the toenails resembling a ram's horn. In light of a rapidly growing elderly population, this case report illustrates the need for close monitoring of the quality of care that nursing services provide to older persons. In addition, it reviews the clinical aspects of onychogryphosis, as well as its pathomechanisms and treatment options.
authors.affiliation: Department of Dermatology and Allergy, Technical University of Munich, Biedersteiner Strasse 29, D-80802 Munich, Germany. m.moehrenschlager@lrz.tum.de
authors.forename: M
authors.initials: M
authors.lastname: Möhrenschlager
authors.forename: K
authors.initials: K
authors.lastname: Wicke-Wittenius
authors.forename: K
authors.initials: K
authors.lastname: Brockow
authors.forename: H
authors.initials: H
authors.lastname: Bruckbauer
authors.forename: J
authors.initials: J
authors.lastname: Ring
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000935:Antifungal Agents / Q000627:therapeutic use; D005260:Female; D005533:Foot Dermatoses / Q000188:drug therapy / Q000601:surgery; D006801:Humans; D009264:Nails, Malformed / Q000188:drug therapy* / Q000601:surgery; D014009:Onychomycosis / Q000188:drug therapy* / Q000601:surgery; D014249:Trichophyton / Q000302:isolation & purification
chemical_list: D000935:Antifungal Agents