KUKU

Congenital
 Anonychia  kuku(-) sejak lahir
 Koilonychia (Spoon nail)
nail plate bisa concaf, datar
Koilonychia
 Hereditar
Racquet’s nail
– kuku pendek, lebar, flat
– curvature hilang
Darier’s disease
– distal margin rapuh dng V-shaped pada ujung
– Garis Longitudinal putih dan merah
– Subungual hyperkeratosis
 Nail disorder in
Darier’s disease

Racquet’s tumb
 Akibat penyakit kulit
 Psoriasis  Exzema & Dermatitis
Pitting nail Atopic dermatitis is the
common caused
Dyscoloration
Erythema &dystrophy of
Distal/leteral the surrounding tissue
onycholysis Roughness & irregularity
Subungual thickened Dyscoloration
Onychodistrophy
 Lichen Planus
Longitudinal ridging
There is red-violaceus papule in the nail bed
 Psoriasis

Subungual hyperkeratosis

Oily spot n pits

Psoriasis

Psoriatic nail atrophy

Psoriatic thickening

Psoriatic pits and onycholysis

Psoriasis

Pitting nails
Exzema / Dermatitis
Atopic Dermatitis

Atopic exzema with normal nail fold

 Lichen Planus

Trachyonycia / Lichen Planus

Fibrotic lichen planus with pterigium

 Disebebkan infeksi

Bacterial Paronychia
Inflamations of the adjacent skin nail fold
 Bengkak, nyeri, abses

Onychomycosis
Oleh jamur
 Paronychia

Chronic paronychia

Acute paronychia due to primary

herpes simplex virus infection
 Onychomycosis

Distal and lateral onychomycosis

Proximal onychomycosis due to Trychophyton rubrum
infection
 Onychomycosis

Total dystrophic onycomycosis Candidal nail plate infection

due to a saprophyte infection
 Trauma
 Karena pekerjaan
 Musician’s nail
Weaver’s nail
Photographer’s nail
 Diri sendiri
 Onychophagi
Habit tic : retraksi berulang
Onychotilomania  parasitophobia
 Ingrown toenail
 kosmetik
 Radiasi
 Trauma fisik
 Trauma

Normal nail bitting

Onychotilomania
 Trauma

Median dystrophy : habit-tic

induced dystrophy
 Oleh Tumor
 Benign tumours
 Viral warts
Keloid
Granulome
 Keratoachantosis

 Malignant tumours
Squamous cell carcinoma
Basale cell carcinoma
Malignant melanoma
Bowen’s disease
 Benign Tumours

Periungual warts in child

Periungual warts causing nail provoked by finger bitting
thickening
 Benign Tumours

Koenen’s tumour

Periungual fibromas
 Malignant Tumours

Bowen’s disease (carcinoma insitu) Invasive squamous cell carcinoma

Malignant Tumours

Melanoma of nail unit extending onto

the finger pulp