Nail Improvement with Non-oral Therapy in HIV Patient: The Importance of Restoring the Dynamic Nail Barrier

AuthorAlejandra Maria Avila-alvarezen
AuthorMaria Camila Velez-Pelaezen
AuthorLuz Marina Gomez-Vargasen
AuthorMaria Margarita Narvaez-Monterrozaen
OrcidAlejandra Maria Avila-alvarez [0000-0002-1506-6585]en
OrcidMaria Camila Velez-Pelaez [0000-0001-5517-9640]en
OrcidLuz Marina Gomez-Vargas [0000-0001-8641-4009]en
Issued Date2025-09-30en
AbstractIntroduction: Nail dystrophy is a common yet often overlooked condition, frequently caused by an untreated minor injury. To effectively manage nail dystrophy, it is important to recognize that the nail unit comprises two functionally distinct but interdependent elements: The support segment and the germinative segment. Case Presentation: We present the case of a 43-year-old female patient with a personal history of HIV infection who consulted the nail clinic for post-traumatic nail dystrophy, characterized by onycholysis and superimposed onychomycosis. The patient was treated using a step-by-step approach aimed at restoring the normal dynamics of the nail unit, which included mechanical dermabrasion, topical treatments, and the use of kinesiology tape. Conclusions: Treatment of nail dystrophy should concentrate on three key pillars: Restoring the attachment of the nail plate to the nail bed, restoring the periungual folds, and preserving the physical, chemical, and mechanical properties of the nail unit.en
DOIhttps://doi.org/10.5812/jssc-162161en
KeywordNailsen
KeywordOnycholysisen
KeywordNails Malformeden
KeywordOnychomycosisen
PublisherBrieflandsen
TitleNail Improvement with Non-oral Therapy in HIV Patient: The Importance of Restoring the Dynamic Nail Barrieren
TypeCase Reporten

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