title: Fingertip dermatitis refractory to topical corticosteroids associated with nail-patella syndrome.
abstract: A 14-year-old girl and her 47-year-old father presented with fingernails that were hypoplastic, spoon-shaped and ridged since birth. Fingertip dermatitis and paronychia were also observed in the daughter, which had been present since birth and had progressively worsened. The daughter denied trauma to her fingernails or chronic exposure to irritants and allergens. She had previously tried topical corticosteroids for 18 months without any benefit. We put forward the possibility of chronic paronychia and fingertip dermatitis, refractory to topical corticosteroids, as associations of digital nail-patella syndrome.
authors.affiliation: Nail Clinic, The Skin and Cancer Foundation of Victoria, Carlton, Victoria, Australia.
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Sakata
authors.forename: Jacinta
authors.initials: J
authors.lastname: Opie
authors.forename: Anne
authors.initials: A
authors.lastname: Howard
mesh_terms: D000293:Adolescent; D002908:Chronic Disease; D004351:Drug Resistance; D005260:Female; D005938:Glucocorticoids / Q000008:administration & dosage; D006229:Hand Dermatoses / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009261:Nail-Patella Syndrome / Q000150:complications*; D009262:Nails / Q000473:pathology*; D010304:Paronychia / Q000188:drug therapy / Q000209:etiology*; D012867:Skin / Q000473:pathology*
chemical_list: D005938:Glucocorticoids