Addressing Complications Of Retained Foreign Bodies

Kristine Hoffman DPM
9/2/14 | 429 reads | 0 comments
Retained foreign bodies are a relatively common injury and over 50 percent of foreign body injuries affect the foot.1,2 The most common foreign bodies are needles, metal, glass, wood, plastic and stone. Due to potential complications from retained foreign bodies, one should remove them unless removal puts neurovascular or other critical structures at high risk of iatrogenic damage. Possible complications from retained foreign bodies include infection, migration, stiffness, granuloma formation and pain. Read More.

How A Diagnosis Of Koilonychia May Indicate Systemic Disease

Kristine Hoffman DPM
8/6/14 | 716 reads | 0 comments
The appearance of toenails can be an important indicator of systemic disease. Koilonychia is a nail deformity characterized by a longitudinal concavity of the nail plate that creates a “spoon-shape” appearance. This nail deformity is associated with numerous conditions including nutritional deficiencies, genetic disorders, trauma, occupational exposure, vascular disorders, autoimmune disease and musculoskeletal disorders. The most commonly reported cause of koilonychia is iron deficiency anemia.1 Read More.

A Closer Look At Non-Dermatologic Disorders Associated With Psoriasis

Kristine Hoffman DPM
7/8/14 | 522 reads | 0 comments
Psoriasis is one of the most common skin conditions, affecting 2 to 4 percent of the population.1 Etiologies for this chronic, immune-mediated skin disease include both genetic and environmental factors. The five main types of psoriasis are plaque, guttate, inverse, pustular and erythrodermic. Nail changes (psoriatic onychodystrophy) are a common feature of psoriasis and include pitting, whitening, yellow-red oil drop or salmon spot discoloration, thickening, subungual hyperkeratosis and onycholysis. Nail changes occur in 40 to 45 percent of patients with psoriasis.2 Read More.

Exploring The Link Between Environmental Exposure And Chronic Paronychia

Kristine Hoffman DPM
6/11/14 | 580 reads | 0 comments
Chronic paronychia is an inflammatory reaction of the nail fold lasting more than six weeks. Many etiologies of chronic paronychia exist and they include fungal infection, contact irritants and allergens. Frequently more than one etiologic agent is present. Read More.

Treating Acute Toenail Injuries In Athletes

Kristine Hoffman DPM
5/13/14 | 1120 reads | 0 comments
Acute toenail injuries in athletes are a relatively common occurrence. These injuries can result from repetitive microtrauma, such as the nail plate contacting the end of the shoe during a long-distance running race, or a single traumatic event such as a crush injury from a player’s foot getting stepped on. Acute nail injuries can cause significant pain and temporary limitation of activities. Long-term complications of these nail injuries include secondary fungal infections and nail plate deformities. Read More.

Treating Chronic Toenail Injuries In Athletes

Kristine Hoffman DPM
4/8/14 | 1475 reads | 0 comments
Both acute and chronic toenail injuries are common among athletes. While the symptoms of acute injuries such as subungual hematoma and paronychia lead patients to seek prompt treatment, chronic nail injuries can go untreated for years. Several sports including ballet, rock climbing and skiing require tight-fitting footwear, which predisposes athletes to toenail injuries. Read More.