Medicine in Images
Carbamazepine-induced trachyonychia
Traquioniquia inducida por carbamazepina
M. Matellanes Palacios
, J. Sabater Abad, E. Quecedo Estébanez
Corresponding author
Servicio de Dermatología, Hospital Arnau de Vilanova, Valencia, Spain
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Matellanes Palacios, J. Sabater Abad, E. Quecedo Estébanez" "autores" => array:3 [ 0 => array:4 [ "nombre" => "M." "apellidos" => "Matellanes Palacios" "email" => array:1 [ 0 => "mariamatellanes@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Sabater Abad" ] 2 => array:2 [ "nombre" => "E." "apellidos" => "Quecedo Estébanez" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Arnau de Vilanova, Valencia, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Traquioniquia inducida por carbamazepina" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1313 "Ancho" => 1750 "Tamanyo" => 338536 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 22-year-old man with a history of epilepsy, undergoing treatment with carbamazepine and with a recent increase in dosage, was admitted to the dermatology office due to a 20-nail disorder (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The patient presented nail plates with rough and thinned surfaces, which had a combination of excess longitudinal striations, pitting and a tarnished appearance. However, the conditions caused the patient no symptoms. The patient was unable to tell exactly how long ago the condition started. The patient reported no trauma, manual work or any intercurrent pathological process. There was no involvement of the skin or mucous membranes. We performed a mycological culture to rule out onychomycosis, the results of which were negative. We therefore reached the diagnosis of trachyonychia secondary to carbamazepine treatment. Given that we could not discontinue the drug due to the need for epilepsy control, we prescribed treatment with Medebiotin®. At the 4-month check-up, we observed considerable improvement. There was only a trachyonychia lesion in the distal area of nails on the big toes (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Both topical and systemic drugs can induce a considerable number of nail apparatus disorders. There are few reported cases in the literature of trachyonychia secondary to carbamazepine treatment. This entity’s diagnosis is mainly clinical, and understanding it can help dispel the patients’ concerns.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2019-07-06" "fechaAceptado" => "2019-07-10" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Matellanes Palacios M, et al. Traquioniquia inducida por carbamazepina. Rev Clin Esp. 2020;220:605–606.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1313 "Ancho" => 1750 "Tamanyo" => 338536 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1313 "Ancho" => 1750 "Tamanyo" => 342031 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000022000000009/v1_202012131457/S2254887419301808/v1_202012131457/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000022000000009/v1_202012131457/S2254887419301808/v1_202012131457/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887419301808?idApp=WRCEE" ]
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