甲与甲病的皮肤影像学进展

doi:10.35541/cjd.20210820

Abstract

Abstract: 【Abstract】 Skin imaging techniques can markedly improve the accuracy of diagnosis of nail diseases, and can be used to evaluate therapeutic effects. This review mainly summarizes the application of reflectance confocal microscopy, optical coherence tomography, high-frequency ultrasound, and nailfold capillaroscopy in nail diseases, and evaluates their advantages and limitations in clinical practice.

Key words: Nail diseases, Diagnostic imaging, Reflectance confocal microscopy, Optical coherence tomography, High-frequency ultrasound, Nailfold capillaroscopy

Huang Shudai, Wang Daguang. Skin imaging techniques for nails and nail diseases[J]. Chinese Journal of Dermatology,2023,e20210820. doi:10.35541/cjd.20210820

References ［26］

［1］	Rothmund G, Sattler EC, Kaestle R, et al. Confocal laser scanning microscopy as a new valuable tool in the diagnosis of onychomycosis ⁃ comparison of six diagnostic methods［J］. Mycoses, 2013,56（1）:47⁃55. doi: 10.1111/j.1439⁃0507.2012. 02198.x.
［2］	Pharaon M, Gari⁃Toussaint M, Khemis A, et al. Diagnosis and treatment monitoring of toenail onychomycosis by reflectance confocal microscopy: prospective cohort study in 58 patients［J］. J Am Acad Dermatol, 2014,71（1）:56⁃61. doi: 10.1016/j.jaad. 2014.02.020.
［3］	Franceschini C, Persechino F, Ardigo M. In vivo reflectance confocal microscopy in general dermatology: how to choose the right indication［J］. Dermatol Pract Concept, 2020,10（2）:e2020032. doi: 10.5826/dpc.1002a32.
［4］	Cinotti E, Fouilloux B, Perrot JL, et al. Confocal microscopy for healthy and pathological nail［J］. J Eur Acad Dermatol Venereol, 2014,28（7）:853⁃858. doi: 10.1111/jdv.12330.
［5］	Mazzilli S, Cosio T, Diluvio L, et al. Dermoscopy and reflectance confocal microscopy in the diagnosis and management of nail fold squamous cell carcinoma［J］. J Med Life, 2020,13（1）:107⁃111. doi: 10.25122/jml⁃2019⁃0129.
［6］	Blundo A, Cignoni A, Banfi T, et al. Comparative analysis of diagnostic techniques for melanoma detection: a systematic review of diagnostic test accuracy studies and meta⁃analysis［J］. Front Med （Lausanne）, 2021,8:637069. doi: 10.3389/fmed.2021.637069.
［7］	Olsen J, Lindso AP, Themstrup L, et al. Optical coherence tomography of onychomycosis: proposed terminology and a suggestion of practical usage［J］. Arch Dermatol Res, 2020,312（1）:51⁃58. doi: 10.1007/s00403⁃019⁃01989⁃8.
［8］	Aydin SZ, Castillo⁃Gallego C, Ash ZR, et al. Potential use of optical coherence tomography and high⁃frequency ultrasound for the assessment of nail disease in psoriasis and psoriatic arthritis［J］. Dermatology, 2013,227（1）:45⁃51. doi: 10.1159/000351702.
［9］	Conti A, Ciardo S, Mandel VD, et al. Speckled variance optical coherence tomography for the assessment of nail involvement in acrodermatitis continua of Hallopeau: a case study［J］. J Int Med Res, 2016,44（1 suppl）:119⁃123. doi: 10.1177/03000605 1559 3263.
［10］	Dicke K, Dervenis V, Dirschka T, et al. Optical coherence tomography for the differential diagnosis of unclear nail pigmentation［J］. Hautarzt, 2022,73（5）:379⁃383. doi: 10.1007/s00105⁃021⁃04862⁃w.
［11］	Rajabi⁃Estarabadi A, Eber A E, Tsatalis J, et al. Optical coherence tomography in evaluation of glomus tumours: a report of three cases［J］. J Eur Acad Dermatol Venereol, 2019,33（9）:e331⁃e334. doi: 10.1111/jdv.15626.
［12］	Abignano G, Green L, Eng S, et al. Nailfold microvascular imaging by dynamic optical coherence tomography in systemic sclerosis: a case⁃controlled pilot study［J］. J Invest Dermatol, 2022,142（4）:1050⁃1057. doi: 10.1016/j.jid.2021.08.436.
［13］	Aluja JF, Quiasua MD, Martinez OH, et al. Nail unit ultrasound: a complete guide of the nail diseases［J］. J Ultrasound, 2017,20（3）:181⁃192. doi: 10.1007/s40477⁃017⁃0253⁃6.
［14］	Wortsman XC, Holm EA, Wulf HC, et al. Real⁃time spatial compound ultrasound imaging of skin［J］. Skin Res Technol, 2004,10（1）:23⁃31. doi: 10.1111/j.1600⁃0846.2004.00048.x.
［15］	Krajewska⁃Wlodarczyk M, Owczarczyk⁃Saczonek A, Placek W, et al. Ultrasound assessment of changes in nails in psoriasis and psoriatic arthritis［J］. Biomed Res Int, 2018,2018:8251097. doi: 10.1155/2018/8251097.
［16］	Chen L, Gao YH, Chen J, et al. Diagnosis of subungual glomus tumors with 18 MHz ultrasound and CDFI［J］. Sci Rep, 2020,10（1）:17848. doi: 10.1038/s41598⁃020⁃74774⁃7.
［17］	Wortsman X, Wortsman J, Soto R, et al. Benign tumors and pseudotumors of the nail: a novel application of sonography［J］. J Ultrasound Med, 2010,29（5）:803⁃816. doi: 10.7863/jum.2010. 29.5.803.
［18］	Sechi A, Alessandrini A, Patrizi A, et al. Ultrasound features of the subungual glomus tumor and squamous cell carcinomas［J］. Skin Res Technol, 2020,26（6）:867⁃875. doi: 10.1111/srt.12888.
［19］	Sulli A, Ruaro B, Alessandri E, et al. Correlations between nailfold microangiopathy severity, finger dermal thickness and fingertip blood perfusion in systemic sclerosis patients［J］. Ann Rheum Dis, 2014,73（1）:247⁃251. doi: 10.1136/annrheumdis⁃2012⁃202572.
［20］	Smith V, Herrick AL, Ingegnoli F, et al. Standardisation of nailfold capillaroscopy for the assessment of patients with Raynaud′s phenomenon and systemic sclerosis［J］. Autoimmun Rev, 2020,19（3）:102458. doi: 10.1016/j.autrev.2020.102458.
［21］	Sivasankari M, Arora S, Vasdev V, et al. Nailfold capillaroscopy in psoriasis［J］. Med J Armed Forces India, 2021,77（1）:75⁃81. doi: 10.1016/j.mjafi.2020.01.013.
［22］	Cutolo M, Sulli A, Pizzorni C, et al. Nailfold videocapillaroscopy assessment of microvascular damage in systemic sclerosis［J］. J Rheumatol, 2000,27（1）:155⁃160.
［23］	Paolino S, Ferrari G, Pizzorni C, et al. Long⁃term follow⁃up of nailfold videocapillaroscopic microvascular parameters in mixed connective tissue disease versus systemic sclerosis patients: a retrospective cohort study［J］. Clin Exp Rheumatol, 2019,37（Suppl 119）（4）:102⁃107.
［24］	Ruaro B, Confalonieri M, Salton F, et al. The relationship between pulmonary damage and peripheral vascular manifestations in systemic sclerosis patients［J］. Pharmaceuticals （Basel）, 2021,14（5）:403. doi: 10.3390/ph14050403.
［25］	Sulli A, Paolino S, Pizzorni C, et al. Progression of nailfold capillaroscopic patterns and correlation with organ involvement in systemic sclerosis: a 12 year study［J］. Rheumatology （Oxford）, 2020,59（5）:1051⁃1058. doi: 10.1093/rheumatology/kez374.
［26］	Thomas J K, Radic M, Tucker J R, et al. Raynaud phenomenon in systemic sclerosis: does digital thermal monitoring correlate to specific nailfold videocapillaroscopy abnormalities?［J］. J Rheumatol, 2021,48（2）:247⁃250. doi: 10.3899/jrheum. 191371.

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Skin imaging techniques for nails and nail diseases

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