Nail changes in patients admitted in a psychiatric hospital: A cross sectional study
DOI:
https://doi.org/10.66344/jpad.v28i1.987Keywords:
Hang nail, longitudinal ridging, nail changes, psychiatric patientsAbstract
Objective To study the nail changes in admitted patients with primary psychiatric diseases.
Methods This cross-sectional hospital based study was conducted in admitted psychiatric patients over a period of one year. Sequential 148 admitted patients with a primary psychiatric illness were studied.
Results This study comprised of 148 patients, 112 males and 36 females. Schizophrenia was the commonest psychiatric diagnosis, comprising 57 (38.5%) patients followed by mania seen in 27 (18.2%) patients. Nail changes were seen in 57 (38.5%) patients. Longitudinal ridging was the most common presentation seen in 16 (10.8%) patients, followed by dystrophic nail in 9 (6%) patients, hang nail 8 (5.4%), traumatic nail 7 (4.7%), paronychia 7 (4.7%), longitudinal melanonychia 6 (4%), petechial hemorrhage 5 (3.3%) and focal pigmentation in 5 (3.3%) patients.
Conclusion Nail manifestations are common in the psychiatric patients. Understanding the causes of nail changes in these patients can help in the prevention of the same.
References
1. Jafferany M. Psycho-dermatology: A guide to understanding the common psychocutaneous disorders. Prim Care companion J Clin Psychiatry. 2007;9:203-13.
2. Arnold LM, Auchenbach MB, McElroy SL. Psychogenic excoriation: clinical features, proposed diagnostic criteria, epidemiology and approaches to treatment. CNS Drugs. 2001;15:351-9.
3. Singal A, Daulatabad D. Nail tic disorders: Manifestations, pathogenesis and management. Indian J Dermatol Venereol Leprol. 2017;83:19-26.
4. Kuruvila M, Gahalaut P, Zacharia A. A study of skin disorders in patients with primary psychiatric conditions. Indian J Dermatol Venereol Leprol. 2004;70:292-5.
5. Mookhoek EJ, van de Kerkhof PCM, Hovens JEJM, Brouwers JRBJ, Loonen AJM. Substantial skin disorders in psychiatric illness coincide with diabetes and addiction. J Eur Acad Dermatol Venereol. 2011;25:392-7.
6. Rather YH, Bashir W, Sheikh AA, Amin M, Zahgeer YA. Socio-demographic and Clinical profile of substance abusers attending a regional drug de-addiction centre in chronic conflict area: Kashmir, India. Malays J Med Sci. 2013;20:31-8.
7. Strumia R, Varotti E, Manzato E, Gualandi M. Skin signs in anorexia nervosa. Dermatology. 2001;203:314-7.
8. Motswaledi MH, Mayayise MC. Nail changes in systemic diseases. S A Fam Pract. 2010;52:409-13.
9. Singal A, Arora R. Nail as a window of systemic diseases. Indian Dermatol Online J. 2015;6:67-74.
10. Perrin AJ, Lam JM. Habit-tic deformity. CMAJ. 2014;186:371.
11. Haneke E. Autoaggressive nail disorders. Dermatol Rev Mex. 2013;57:225-34.
12. Baran R. Nail biting and picking as a cause of longitudinal melanonychia. Dermatologica. 1990;181:126-8.
13. Kota R, Pilani A, Nair PA. Median Nail Dystrophy involving the thumb nail. Indian J Dermatol. 2016;61:120.
14. Singh G. Nails in systemic disease. Indian J Dermatol Venereol Leprol. 2011;77:646-51.
15. Daniel CR, Sams WM, Scher RK. Nails in systemic disease. Dermatol Clin. 1985;3:167-87.
16. Monk BE. The prevalence of splinter haemorrhages. Br J Dermatol. 1980;103:183-5.
17. De Barber D. What do Beau's lines mean? Int J Dermatol. 1996;134:542-7.
18. Weissman K. J. H. S. Beau and his descriptions of transverse depressions on nails. Br J Dermatol. 1977;97:571-2.
19. Ray L. Onycholysis: a classification and study. Arch Dermatol. 1963;88:181-5.
Downloads
Published
Issue
Section
License
Copyright (c) 2018 Tasleem Arif, Iffat Hassan, Konchok Dorjay, Mushtaq Ahmad Margoob, Parvaiz Anwar, Sheikh Shoib

This work is licensed under a Creative Commons Attribution 4.0 International License.
Submission declaration
Authors retain the copyright to their work and grant the 'Journal of Pakistan Association of Dermatologists (JPAD)' the right of first publication under a Creative Commons Attribution 4.0 International (CC BY 4.0) license. This license allows others to share, adapt, and reuse the work for any purpose, including commercial use, as long as appropriate credit is given to the original authors and the journal.
By submitting a manuscript, authors confirm that the work has not been published previously (except as an abstract, lecture, or academic thesis), is not under review elsewhere, and has been approved by all authors and relevant authorities. Once accepted, the article will be openly accessible under the CC BY 4.0 license, ensuring wide dissemination and reuse with proper attribution.






