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Dermatosis papulosa nigra (DPN) is a condition of many small, benign skin lesions on the face, a condition generally presenting on dark-skinned individuals. [1]: 638–9 DPN is extremely common, affecting up to 30% of Black people in the US. [2] From a histological perspective, DPN resembles seborrheic keratoses. [3]
People with dermatophagia chew their skin out of compulsion, and can do so on a variety of places on their body. [8] Those with dermatophagia typically chew the skin surrounding their fingernails and joints. They also chew on the bottom of their feet/toes, inside of their mouth, cheeks, and/or lips, causing blisters in and outside of the mouth.
Toe nails become infected with fungi in the same way as the rest of the foot, typically by being trapped with fungi in the warm, dark, moist inside of a shoe. Fungal infection of the nails is called tinea unguium, and is not included in the medical definition of "athlete's foot", even though toe nails are part of the foot. Fungi are more ...
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Acrokeratosis (AKV) is characterized by several small wart-like and flat-topped bumps that line the skin on typically the hand and feet. [7] Hypermelanotic macule. Dark patches on the skin that contain excess pigment. Subungual hyperkeratotic fragments. Thickened skin that is often discolored, under nails, on either hands or feet.
Hormones and certain medications can also make pigmented bands in the nails, but be especially watchful for nail cancer symptoms, such as a brown or dark stripe that goes from the cuticle out to ...
All twenty nails, skin, and mucous membranes should be examined during the initial physical examination, bearing in mind all possible causes of brown-to-black nail coloration. It is best to rule out the possibility that an exogenous substance on top of or beneath the nail plate is the cause of the linear nail coloring.
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