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In most cases, when white spots appear on a single or a couple of fingernails or toenails, the most common cause is injury to the base (matrix) of the nail. When this is the case, white spots disappear after around eight months, which is the amount of time the nails take to regrow completely.
Symptoms of herpetic whitlow include swelling, reddening, and tenderness of the infected part. This may be accompanied by fever and swollen lymph nodes. Small, clear vesicles initially form individually, then merge and become cloudy, unlike in bacterial whitlow when there is pus. Associated pain often seems largely relative to the physical ...
Finally, oxygenated blood turns the previously white areas red. "That red phase is associated with a lot of pain, discomfort, numbness, tingling, burning sensations before it completely normalizes ...
The 2009 article [37] studied 19 patients ranging in age from 15 to 72 years with severe Raynaud's phenomenon of which 16 patients (84%) reported pain reduction at rest; 13 patients reported immediate pain relief, three more had gradual pain reduction over 1–2 months. All 13 patients with chronic finger ulcers healed within 60 days.
A whitlow or felon is an infection of the tip of the finger. [ 1 ] [ 2 ] [ a ] Herpetic whitlow and melanotic whitlow (subungual melanoma) are subtypes that are not synonymous with the term felon . A felon is an "extremely painful abscess on the palmar aspect of the fingertip". [ 6 ]
As the infection progresses the nail can become brittle, with pieces breaking off or coming away from the toe or finger completely. If left untreated, the skin underneath and around the nail can become inflamed and painful. There may also be white or yellow patches on the nailbed or scaly skin next to the nail, [7] and a foul smell. [8]
Muehrcke's lines were described by American physician Robert C. Muehrcke (1921–2003) in 1956. In a study published in BMJ, he examined patients with known chronic hypoalbuminemia and healthy volunteers, finding that the appearance of multiple transverse white lines was a highly specific marker for low serum albumin (no subject with the sign had SA over 2.2 g/dL), was associated with severity ...
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