de Berker DA, Dahl MG, Comaish JS, Lawrence CM
DOI: 10.2340/0001555576484487

To examine the merits of nail surgery, we studied the surgical investigation, treatment and the outcome of 78 consecutive patients with nail pathology in the context of their complaint. A diagnosis was reached in 74/78 patients. Thirty-six out of seventy-eight (46%) of patients had tumours, 17/78 (22%) had a dermatosis, 21/78 (27%) had infection or trauma and 4/78 (5%) remained undiagnosed. The presenting complaint was treated with substantial or complete resolution in 66/78 (87%) patients. Ninety-seven per cent (35/36) of those with tumours were cured, including all 5/36 with malignant and dysplastic tumours. Post-operative splitting of the nail was seen in only one patient due to secondary infection of a longitudinal nail unit biopsy. Information from this study demonstrates the diagnostic and therapeutic value of nail surgery within dermatology.