Relevance of onychodystrophy in patients with chronic venous disease
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Abstract
Objective: The purpose was to evaluate the relation between onychodystrophy and chronic venous disorder.
Methods: An observational and prospective study of 83 patients aged 40-84 with chronic venous disorder (ranging C0-C6 in CEAP classification) was performed. Nails were assessed using photographs and through onychoscopy.
Results: Women are more frequently affected by onychodystrophy than men. Both lower limbs are equally affected by onychodystrophy. The first toe is more affected by onychodystrophy than the third, fourth and fifth. In the left lower limb, the fifth toe is more affected than the second and fourth. In the right lower limb, the first toe is more affected than the third, fourth and fifth. A positive association exists between onychodystrophy in feet and chronic venous disorder.
Conclusion: Onychodystrophy affects mostly women, it is equally found in both lower limbs, the first and the fifth toe tend to be the most affected and its prevalence increases according to the degree of severity of chronic venous disorder.
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