Plummer's Nail
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Plummer's Nail
Plummer's nail is a clinical sign in which there is onycholysis, or separation of the nail from the nail bed, particularly affecting the ring and little fingers. It occurs in patients with thyrotoxicosis. About 5% of hyperthyroid patients display abnormal nail changes. Plummer's nail is also associated with psoriasis, traumatic injury, and allergic contact dermatitis. The sign is named after Henry Stanley Plummer Henry Stanley Plummer ( – ) was an American internist and endocrinologist who, along with William Mayo, Charles Mayo, Augustus Stinchfield, E. Starr Judd, Christopher Graham, and Donald Balfour founded Mayo Clinic. Plummer is also immortal .... See also * Pili bifurcati * List of cutaneous conditions References External links Conditions of the skin appendages {{Dermatology-stub ...
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Medical Sign
Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pain or pains in the body. Signs and symptoms Signs A medical sign is an objective observable indication of a disease, injury, or abnormal physiological state that may be detected during a physical examination, examining the patient history, or diagnostic procedure. These signs are visible or otherwise detectable such as a rash or bruise. Medical signs, along with symptoms, assist in formulating diagnostic hypothesis. Examples of signs include elevated blood pressure, nail clubbing of the fingernails or toenails, staggering gait, and arcus senilis and arcus juvenilis of the eyes. Indicati ...
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Onycholysis
Onycholysis is a common medical condition characterized by the painless detachment of the nail from the nail bed, usually starting at the tip and/or sides. On the hands, it occurs particularly on the ring finger but can occur on any of the fingernails. It may also happen to toenails. Onycholysis can occur in many conditions, including psoriasis. In thyrotoxicosis, it is thought to be due to sympathetic overactivity. It may also be seen in infections or trauma. Causes * Unknown * Trauma, excessive manicuring * Infection: especially fungal * Skin disease: psoriasis, dermatitis * Impaired peripheral circulation, e.g. Raynaud's syndrome * Systemic disease: hyperthyroidism, hypothyroidism, reactive arthritis, porphyria cutanea tarda * Reaction to detergents (e.g. washing dishes with bare hands, using detergent-based shampoos or soaps). * Patients with hepatocellular dysfunction may develop hair-thinning or hair loss and nail changes such as clubbing, leukonychia (whitening), or onyc ...
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Nail (anatomy)
A nail is a claw-like plate found at the tip of the Finger, fingers and Toe, toes on most primates. Nails correspond to the claws found in other animals. Fingernails and toenails are made of a tough protective protein called alpha-keratin, which is a polymer. Alpha-keratin is found in the hooves, claws, and horns of vertebrates. Structure The nail consists of the nail plate, the nail matrix and the nail bed below it, and the grooves surrounding it. Parts of the nail The matrix, sometimes called the ''matrix unguis'', keratogenous membrane, nail matrix, or onychostroma, is the active Tissue (biology), tissue (or Germ layer, germinal Matrix (biology), matrix) that generates cells, which harden as they move outward from the nail root to the nail plate. It is the part of the nail bed that is beneath the nail and contains nerves, lymph and blood vessels. The matrix produces cells that become the nail plate. The width and thickness of the nail plate is determined by the size, length, ...
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Ring Finger
The ring finger, third finger, fourth finger, leech finger, or annulary is the fourth digit of the human hand, located between the middle finger and the little finger. Sometimes the term ring finger only refers to the fourth digit of a left-hand, so named for its traditional association with wedding rings in many societies, although not all use this digit as the ring finger. Traditionally, a wedding ring was worn only by the bride or wife, but in recent times more men also wear a wedding ring. It is also the custom in some societies to wear an engagement ring on the ring finger. In anatomy, the ring finger is called ''digitus medicinalis'', ''the fourth digit'', ''digitus annularis'', ''digitus quartus'', or ''digitus IV''. In Latin, the word ''anulus'' means "ring", ''digitus'' means "digit", and ''quartus'' means "fourth". Etymology The origin of the selection of the fourth digit as the ring finger is not definitively known. According to László A. Magyar, the names of the ...
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Little Finger
The little finger, or pinkie, also known as the baby finger, fifth digit, or pinky finger, is the most ulnar and smallest digit of the human hand, and next to the ring finger. Etymology The word "pinkie" is derived from the Dutch word ''pink'', meaning "little finger". The earliest recorded use of the term "pinkie" is from Scotland in 1808. The term (sometimes spelled "pinky") is common in Scottish English and American English, and is also used extensively in other Commonwealth countries such as New Zealand, Canada, and Australia. Nerves and muscles The little finger is nearly impossible for most people to bend independently (without also bending the ring finger), due to the nerves for each digit being intertwined. There are also nine muscles that control the fifth digit: Three in the hypothenar eminence, two extrinsic flexors, two extrinsic extensors, and two more intrinsic muscles: * Hypothenar eminence: ** Opponens digiti minimi muscle ** Abductor minimi digiti muscle (a ...
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Thyrotoxicosis
Hyperthyroidism is the condition that occurs due to excessive production of thyroid hormones by the thyroid gland. Thyrotoxicosis is the condition that occurs due to excessive thyroid hormone of any cause and therefore includes hyperthyroidism. Some, however, use the terms interchangeably. Signs and symptoms vary between people and may include irritability, muscle weakness, sleeping problems, a fast heartbeat, heat intolerance, diarrhea, enlargement of the thyroid, hand tremor, and weight loss. Symptoms are typically less severe in the elderly and during pregnancy. An uncommon complication is thyroid storm in which an event such as an infection results in worsening symptoms such as confusion and a high temperature and often results in death. The opposite is hypothyroidism, when the thyroid gland does not make enough thyroid hormone. Graves' disease is the cause of about 50% to 80% of the cases of hyperthyroidism in the United States. Other causes include multinodular goiter, ...
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Henry Stanley Plummer
Henry Stanley Plummer ( – ) was an American internist and endocrinologist who, along with William Mayo, Charles Mayo, Augustus Stinchfield, E. Starr Judd, Christopher Graham, and Donald Balfour founded Mayo Clinic. Plummer is also immortalized as the driving force behind the Plummer Building, which still stands as a part of the Clinic he helped establish. Biography Early life and education Plummer was born in Hamilton, Minnesota, to Dr. Albert Plummer (August 9, 1840 – March 20, 1912) and his wife Isabelle (née Steere; 26 September 1850 – 15 January 1936). He attended high school in Spring Valley, Minnesota, after which he attended the University of Minnesota for two years, then completed his course of study with a four-year term at the Chicago Medical College of Northwestern University, graduating in 1898. Afterward, he returned to Racine, Minnesota, to assist his father, Albert Plummer, with his private practice. Career Plummer became a partner in the Clinic's p ...
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Pili Bifurcati
Pili bifurcati is characterized by bifurcation found in short segments along the shafts of several hairs, with each branch of the bifurcation being covered with its own cuticle.James, William; Berger, Timothy; Elston, Dirk (2005). ''Andrews' Diseases of the Skin: Clinical Dermatology''. (10th ed.). Saunders. . See also * List of cutaneous conditions * Pili multigemini Pili multigemini, also known as "compound hairs," is a malformation characterized by the presence of bifurcated or multiple divided hair matrices and Hair follicle, papillae, giving rise to the formation of multiple hair shafts within the individu ... – multiple hairs growing from the same source. * Ringed hair References External links Conditions of the skin appendages {{skin-appendage-stub ...
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List Of Cutaneous Conditions
Many skin conditions affect the human integumentary system—the organ system covering the entire surface of the body and composed of skin, hair, nails, and related muscle and glands. The major function of this system is as a barrier against the external environment. The skin weighs an average of four kilograms, covers an area of two square metres, and is made of three distinct layers: the epidermis, dermis, and subcutaneous tissue. The two main types of human skin are: glabrous skin, the hairless skin on the palms and soles (also referred to as the "palmoplantar" surfaces), and hair-bearing skin.Burns, Tony; ''et al''. (2006) ''Rook's Textbook of Dermatology CD-ROM''. Wiley-Blackwell. . Within the latter type, the hairs occur in structures called pilosebaceous units, each with hair follicle, sebaceous gland, and associated arrector pili muscle. In the embryo, the epidermis, hair, and glands form from the ectoderm, which is chemically influenced by the underlying mesoderm th ...
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