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| Vorwort | 2 | |
| Einleitung | 2 | |
| Grundlagen der Nageldiagnostik | 11 | |
| Der normale Nagel, Bau und Funktion | 11 | |
| Aufbau | 11 | |
| Feinbau........................................................................................................................................................................................................................................................................................................................H | ||
| Wachstum | 12 | |
| Störungen des Nagelwachstums und ihre Erkennung | 13 | |
| Allgemeine Pathologie | 12 | |
| Diagnostik von Nagelveränderungen | 14 | |
| Spezielle Untersuchungsverfahren .......................................................................................................... | ||
| Die krankhaften Veränderungen des Nagels | 15 | |
| Fehlanlage, Fehlausbildung oder Verlust der Nagelplatte | 15 | |
| Angeborene Aplasie, Hypoplasie oder Dysplasie des Nagels | 15 | |
| - Anonychia aplastica................................................................................................................................. | ||
| - Anonychia atrophica tarda..................................................................................................................... | ||
| - Anonychia keratodes | 15 | |
| - Onycho-Osteo-Dysplasie (Nagel-Patella-Syndrom) | 16 | |
| - Kongenitale Onychodysplasie der Zeigefinger | 16 | |
| - Dyskeratosis congenita (Zinsser-Engmann-Cole-Syndrom) | 16 | |
| - Hereditäre ektodermale Dysplasien | 17 | |
| Erworbene Atrophie und Vernarbung des Nagelbettes | 17 | |
| Onychotillomanie, Nagelartefakte | 20 | |
| Ablösung des Nagels und vorübergehender Nagelverlust | 21 | |
| - Onychomadese | 21 | |
| - Onycholyse | 28 | |
| Brüchige und splitternde Nägel | 25 | |
| Onychoschisis | 25 | |
| Onychorrhexis | 27 | |
| Gestaltungsanomalien der Nagelplatte (Profil, Krümmung, Dicke) | 27 | |
| Veränderungen des Nagelprofils | 27 | |
| - Brachyonychie | 28 | |
| Doppelnagel und heterotope Nägel | 28 | |
| Veränderungen der Nagelkrümmung | 29 | |
| - Uhrglasnagel | 29 | |
| - Unguis inflexus | 31 | |
| - Papageienschnabelnagel | 31 | |
| - Röhren-und Zangennagel | 31 | |
| - Platonychie, Koilonychie | 32 | |
| Veränderungen der Nageldicke | 33 | |
| - Pachyonychia congenita | 33 | |
| - Skleronychie und Yellow-Nail-Syndrom | 34 | |
| - Onychauxis und Onychogrypose | 36 | |
| - Großzehennageldystrophie des Kindes (kongenitale Stellungsanomalie) | 36 | |
| Veränderungen des Reliefs der Nagelplatte | 38 | |
| Grübchen | 33 | |
| Dellen, Usuren | 33 | |
| Querfurchen, Kerben | 40 | |
| Hohlkehlen | 43 | |
| Spaltbildungen | 43 | |
| Therapiemöglichkeiten bei Spaltbildung und Strukturveränderungen der Nagelplatte | 44 | |
| Altersbedingte Längsrillung und Perlrillung | 46 | |
| Veränderungen von Farbe und Glanz der Nägel | 46 | |
| Farbveränderung der Nägel (Dyschromie) | 46 | |
| - Weißfärbungen des Nagels | 47 | |
| - Milchglasnägel | 49 | |
| - Dunkle Pigmentierungen des Nagels (schwarz, braun, blau, grün) | 51 | |
| - Sonstige Dyschromien (rot, blaurot, gelb) | 58 | |
| Abweichungen vom normalen Glanz der Nageloberfläche | 62 | |
| - Glanznägel | 52 | |
| - Trachyonychie | 62 | |
| Kombinierte Phänomene | 64 | |
| Psoriatische Nagelveränderungen | 64 | |
| Mykotische Nagelveränderungen | 67 | |
| - Onychomykosen durch Dermatophyten | 68 | |
| - Onychomykosen durch Schimmelpilze | 69 | |
| - Onychomykosen durch Hefen | 69 | |
| - Therapie | 71 | |
| Tumore im Nagelbereich | 73 | |
| Gutartige Geschwülste | 74 | |
| - Verrucae vulgares | 74 | |
| - Exostosen (Osteochondrome) | 74 | |
| - Pseudozysten | 75 | |
| - Fibrome | 76 | |
| - Angiome, Glomustumore | 76 | |
| - Seltene benigne Tumore | 77 | |
| - Präkanzerosen, Carcinoma in situ | 78 | |
| Bösartige Geschwülste | 78 | |
| - Malignes Melanom | 78 | |
| - Amelanotisches Melanom ...................................................................................................................... | ||
| - Plattenepithelkarzinom und Basaliom | 81 | |
| - Seltenere maligne Tumore | 82 | |
| Spezielle Formen der Entzündung in der Nagelumgebung | ||
| (Paronychie und eingewachsener Nagel) | 83 | |
| Infektiöse Paronychie | 83 | |
| Nichtinfektiöse Paronychie durch Medikamente | 83 | |
| Paronychie und Nagelveränderungen unter medikamentöser Tumortherapie | 84 | |
| Nichtinfektiöse Paronychie bei anderen Flaut- und Systemerkrankungen | 86 | |
| Unguis incarnatus | 89 | |
| Operationen in der Nagelregion | 91 | |
| Allgemeine Flinweise zu operativen Eingriffen am Nagelorgan | 91 | |
| Nagelavulsion (Nagelentfernung) | 92 | |
| Diagnostische Biopsie der Nagelplatte und des Nagelbettes | 93 | |
| Diagnostische Biopsie der Nagelmatrix | 93 | |
| Operative Therapie des Unguis incarnatus | 94 | |
| Therapie subungualer Hämatome | 98 | |
| Vorgehen bei subungualen Tumoren | 99 | |
| Operative Korrekturmöglichkeiten von Nagelfehlbildungen | 99 | |
| Therapie der mukoiden Dorsalzyste | 100 | |
| Vorgehen bei subungualen Pigmentierungen | 101 | |
| Operative Therapie maligner Tumore am Nagelorgan | 101 | |
| - Plattenepithelkarzinom | 104 | |
| - Basalzellkarzinom | 104 | |
| Allgemeine Gesichtspunkte zur Therapie von Nagelkrankheiten | 105 | |
| Allgemeindiagnostische Bedeutung von Nagelveränderungen | 107 | |
| Nagelsymptome als Zeichen einer Arzneimittelschädigung | 108 | |
| Kennzeichnende Nagelsymptome bei inneren und Allgemeinkrankheiten | 110 | |
| Kennzeichnende Nagelsymptome bei Hautkrankheiten | 112 | |
| Literatur | 115 | |
| Glossar | 195 | |
| Sachregister | 199 | |