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Report of Cases

We have recently seen 9 patients who developed onychomadesis associated with pyogenic granuloma of the proximal nail fold after removal of a plaster cast. All patients were males, aged from 15 to 42 years, who had experienced a bone fracture treated with cast immobilization for 1 to 3 months. The fracture involved a finger phalanx in 3 patients, a metacarpal bone in 2 patients, and the wrist (Colles fracture) in 4 patients. All patients complained of moderate paresthesia and pain of the immobilized hand during cast wearing and developed painful fingernail inflammatory lesions 7 to 30 days after cast removal. According to the patients, development of the nail lesions was preceded by a temporary arrest of the nail growth of the affected finger in all patients and of an adjacent finger in 3 of them. The findings of clinical examinations revealed identical features in all patients: proximal nail detachment associated . . . [Full Text of this Article]

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