title: Nail Disease for the Primary Care Provider.
abstract: Nail disorders are a common presenting complaint for both the primary care physician and the dermatologist. Nail diagnoses are broad in scope and include infectious, inflammatory, and neoplastic conditions. Onychomycosis is an especially common nail condition, and treatment should always be preceded by appropriate fungal studies for confirmation of diagnosis. Inflammatory conditions of the nail unit can mimic onychomycosis, and a dermatologist can assist with diagnosis and treatment recommendations. Likewise, subungual tumors often require biopsy, and should be evaluated by a dermatologist who is experienced in nail evaluation and treatment.
authors.affiliation: Division of Dermatology, University of Washington School of Medicine, 1959 Northeast Pacific Street, BB-1353, Box 356524, Seattle, WA 98195-6524, USA. Electronic address: laurenkb@uw.edu.
authors.forename: Lauren K
authors.initials: LK
authors.lastname: Biesbroeck
authors.affiliation: Division of Dermatology, University of Washington School of Medicine, 1959 Northeast Pacific Street, BB-1353, Box 356524, Seattle, WA 98195-6524, USA.
authors.forename: Philip
authors.initials: P
authors.lastname: Fleckman
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D003560:Cysts / Q000175:diagnosis / Q000628:therapy; D003879:Dermatologic Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D009260:Nail Diseases / Q000175:diagnosis* / Q000628:therapy*; D011320:Primary Health Care; D012878:Skin Neoplasms / Q000175:diagnosis / Q000628:therapy
chemical_list: D000890:Anti-Infective Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D003879:Dermatologic Agents; D005938:Glucocorticoids
keywords: Melanonychia; Nail; Onychomycosis; Paronychia; Subungual tumor; Wart