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ی
۲ 8
19
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EIDEEROOLEG COO
OLOT TPLEY
REOECSL
يي ۱۹۶
a کرت رم رم رازه
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Dis ees ۱ eae ie PAS ee
ا را(
ye ee Nese ceneice acer ince OlemUar 000
UPUREA ل ل ی ANS Ea
Beer es eA cee NS Pe ا PSL oe
poeusoota, or Pever. Dhese toes ewerge Pow ude
UU EARSNSL ل ان e N cad
00
ا ل 0
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مر(
arcem ome ا ليد
من ره Une
با را ما درا زر رز(
يي مر 00
Ounce howevputhic newedy= (rs aly
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5
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6 رم rides
2 ۱12 رد PANS ل
دص رح acl
۱ Ds PAS ca ASN cas eA aD
3
OW وا لا ی a ao
Ae
SOPWG; rougkoess Pragercails; ribbed: tog.
0 ل ee ae A ee a ee
ا ee Ce
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ed دز(
06000007 esa ined bse = ge SNe es eed EERO ری
.لومم De oe en ence cys) حصصمم رت در
moves. Proxazdl cal Pot Peels sprog. Caused by
ل ل LER CaS ”أ >
TAPAS AS ل ا eS ceca AOS
disease fs preset i OO percent oP people who hove
Za CANS eZ EAS GCA SCA CaS ez Ease رگ مر
Te hair ا 0 ae ee
0 حول با 9 PQ,
00
he nen
ان ee eet
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Pitting
= Small pits or depressions. Most
common nail problem seen in 25
percent to 50 percent of people with
psoriasis.
" Extremities; NAILS; holes in: ars.
tan discoloration “oil spot” lesion.
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Spoon nails
> Soft nails that look scooped) out.
Depression is usually large enough to
hold a drop of liquid. Often indicates
iron deficiency anemia.
» Extremities; NAILS; complaints of;
۰۱292222 ست زر
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0 Wa
= Lifting of the nail from the nail bed.
Causes: trauma, psoriasis, drug
reactions, bacterial/fungal infection,
contact dermatitis from using nail
hardeners, thyroid disease, iron
deficiency anemia or syphilis.
= Looseness fingernails: apis., med.,
pyrog., ust.
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»
2
3
4
لل
7۰
4
۶
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Nail growth
* Onl hypertrophy
ND cane A csme ANCL Cea cel cane ca ull (cae OD Ines
QOrteds) or arguined - The call beoowes dePored
wits chow tise appeaccove. Causes: (rt mutters the
بعاهه frava7g, | Desa ees Pass aS es رو
ال > تا ne A eA et
0” 4) ی CAA eee EAU a
Fre AE CA cae ac A Cr ا me ce
ae 2 ا ا 2 le Ca A
رت
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Figure 3: Courtesy of Richard K. Scher, MD
Figure 3. Transverse ridging in the left
hallux of a soccer player. Such a deformity
can occur when the nail matrixis damaged
by repeated impacts of kicking the ball,
resulting in pernanent changes in the
nail plate.
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مار
۱ roel NR ل PARC NAN ci
* DOUG; aophic: vA,
* DOUG; wow, & wt witv., ptra., rabhr.,
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Nas ACR atc Can cre ca poours it © .© put oP every
(DO OOO pevple
Oe Cn ease mE Ne ا
سم يان
ON aa ha (OM crea cd
pep ae peer ea hd مسر
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اک هت 6۱
Half-and-Half (Lindsay's nails) —
Look for an arc of brownish
discoloration. May occur in a small
percentage of people who have
kidney failure. Internal diseases and
nutritional deficits can cause
changes in the appearance of the
lates
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16۲۲۷ 5 ۵5
* The nail looks opaque and white, but
the nail tip has a dark pink to brown
band. May accompany cirrhosis,
congestive heart failure, adult-onset
diabetes, cancer or ageing.
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Cyanosis
= A bluish discoloration visible at the nail bases in
select patient with severe hypoxemia or
hypoperfusion. As with clubbing, it is not at all
sensitive for either of these conditions.
= H; Hands; NAILS, fingers, general; discoloration,
nails; blueness (59) : acon., aesc., agar., apis, apoc.,
arg-n., arn., ars., asaf., aur., cact., camph., carbn-s.,
carb-v., chel., chin., chin-ar., chin-s., chlf., cic., cocc.,
colch., con., لت dig., dros., eup-pur., ferr., ferr-ar.,
ferr-p., gels., gins., graph., ip., manc., merc., merc-
Set rail loa ies eT Tele TT ae Op., Ox-ac.,
,ام ۲ 36 006۰, plb., ‘thus- t., Sang., Sars., Sep.,
زنط و۱۳۰ ,اک و2۳0 Verat., Naas
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Paronychia (felon)
= Inflammation of the nail folds, ratte appear red,
۱ tenet iitel may not be انوا
Causes: fungal infection, secondary bacterial infection,
people who’s hands are |۱۹ elie
susceptible,
= H; Hands; NAILS, fingers, general; panaritium, nails
(۰ یت کیت ییات ییا رساات فا 0) i=
am., aSaf., bar-c., benz-ac., berb., bov., bufo, calc.,
caust., chin., cist., con., cur., Dios., eug., ferr., Fl-ac.,
gins., Hep., hyper., iod., iris, kali-c., kalm., lach., led.,
lyc., merc., Myris., nat-c., nat-h., nat-m., nat-s., Nit-ac.,
par., petr., phyt., plb., puls., rhus-t., sang., sep., Sil.,
sulph., Tarent-c., teucr.
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NAILS; pulp, of; nails recede, leave raw
5
redness; fingernails: apis, ars., cortiso.,
crot-c., lepi., lith-c., ozone, upa., x-ray
inflammation, fingernails; around: con.,
hell., kola., nat-m., nat-s., ph-ac., sil.
H; Hands; NAILS, fingers, general; fungus,
under (4) : ant-c., graph., petr., thuj.
H; Hands; NAILS, fingers, general;
inflammation, fingernails (1) : kali-c.
H; Hands; NAILS, fingers, general;
ae ee fingernails; root of (2) : hep., یل
stict.
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Figure 6: Courtesy of Richard K. Scher, MD
Figure 6. The split nail of the right thumb.
of a wrestler, whose nail matrix was scarred
by recurrent staphylococcal paronychia.
If this condition is diagnosed early,
treatment is with systemic antibiotics;
otherwise, partial removal of the proxirnal
nail plate may be necessary.
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دمم رای ره رش
Peres PAOLO)
ی رد ere ۳
(GOCE). اک
el eae a ی 2 Corea ais
Or mise ead eases eR cc esta aS ici CAST
AE) Iii .جاعروذ) لجمادمجمصلين عرص ببدم
اه واه ل ل لك ۶
a a ا ا ا لك
CS ا ا ا ا ا 6ك
ا ا ا ا
vies ا ا يا ل ل ل لك وا
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0 اي ل ا
اجام ANS CA
با OCA a Nice ا At CARY A
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BON ic amc
bl Wc ene ica ca cM PAN CA Des P| A lee ea ce
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Yellow nail syndrome
= Yellow nail syndrome is characterized by
yellow or green nails that lack a cuticle, grow
slowly, and are loose or detache:
(onycholysis). May be associated with
swelling of the hands and feet
(lymphoedema), or a lung diseases e.g.
chronic bronchitis. Yellow nails can indicate
internal disorders long before other
symptoms و Some of these are
problems with the en al رن
respiratory disorders, diabetes, and liver
0
= NAILS: discoloration; yellowish: am-c., ambr.,
ant-c., ars., aur, bell., 2 calc., canth., carb-
v., caust., cham., chel., chin., Con., fer, hep.,
ign., lyc., merc., nit-ac., nux-v., op., plb., puls.,
ep., Sil, spig., sulph.
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Ohare spots (Ledwayohia)
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Melanonychia
“عصامم؟ انب عن علحوحطا لصامع ونام اموور bd
و مر با
eel PA ل 0
ا ۱6 ۳
مر
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عر تتا
= Hypothyroidism: brittle nails - which separate
easily from the nail bed (Onycholysis)
یه و نی هچ ef 0۳۷, ۱۷۵۱۱۵۸۱5 50, ۲۵۱96,
slow pulse, chilly, coarse hair that falls out.
= Hyperthyroidism: brittle nails - which
separate easily from the nail bed
(Onycholysis) and are concave (spoon nails)
= Brittle nails - may also suggest iron deficiency
anemia, kidney and circulatory problems.
= NAILS; brittle: a/um., alum-sil., ambr., anan., ant-c.,
ars., but-ac., calc., Calc-f, peg ,اولاق 6160۰,
cupr., dios., fl-ac., Graph., hep., hydrog., lept., lyc.,
med., merc., morg., nat-m., nit-ac., ozone, phos.,
Psor., rad-br., ruta, sabad., sec., sel., senec., sep.,
sil., spig., squil., sulph., syc-co., thuj., tub., x-ray
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Nails that chip, peel, crack, or break
easily - suggest a nutritional deficiency,
lacking hydrochloric acid, protein or minerals.
NAILS: cracked: ant-c., ars., lach., nat-m.,
sil.
Crumbling away of fingernails: but-ac.
{Butyric acid: a volatile acid obtained from
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NAILS; scatter like powder when cut: sil.
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(0
= Liver Diseases: White Nails
=" Kidney Diseases: Half of nail is pink,
half is white
= Heart Conditions: Nail bed is red
= Lung Diseases: Yellowing and
thickening of the nail, slowed growth rate
= Anemia: Pale nail beds
= Diabetes: Yellowish nails, with a slight
blush at the base
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(ON a ease fae eer oa eae ead
= Vitamin A and calcium deficiencies
- dry brittle nails.
= Vitamin B deficiency - horizontal
and vertical ridges, that break easily.
= Vitamin B12 deficiency- dry,
darkened nails with rounded and
curved nail ends.
= Protein deficiency- white bands
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:طاو اكه علصرصمر©)
= Ayurveda considers nails as the
waste product of the bones.
= Dry, crooked, rough nails that break
easily indicates a predominance of
the Vata constitution.
= Soft, pink, tender nails that are easily
bent are indication of a Pitta
constitution.
= Thick, strong, soft and shiny nails
indicate a Kapha constitution.
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acest: کی راو(
Longitudinal lines: indicate inability of ل
the digestive system to absorb food
01017
= Transverse grooves: may indicate the
presence of long-standing illness or
malnutrition.
= Yellow nails; alert us to liver problems or
jaundice.
= Blue nails: indicate a weak heart.
= اد shows an excess of red blood
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