Nail Bed Regeneration by Excision of Distal Scarred Matrix in a Patient with Porphyria Cutanea Tarda

Summary:. Onycholysis secondary to nail bed scarring can be a challenging problem for hand surgeons, given the relatively few techniques available for nail bed lengthening. Here, we present the case of a patient with upper extremity onycholysis, secondary to porphyria cutanea tarda. We used a techni...

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Bibliographic Details
Published in:Plastic and Reconstructive Surgery, Global Open
Main Authors: Spencer K.J. Yakaback, MD, MSc, Mofei A. Wu, MD, Hannah N. St. Denis-Katz, MD, FRCSC, Aaron D.C. Knox, MD, MSc, FRCSC
Format: Article
Language:English
Published: Wolters Kluwer 2024-08-01
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006110
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Summary:Summary:. Onycholysis secondary to nail bed scarring can be a challenging problem for hand surgeons, given the relatively few techniques available for nail bed lengthening. Here, we present the case of a patient with upper extremity onycholysis, secondary to porphyria cutanea tarda. We used a technique first described by Lemperle et al in 2003 to successfully lengthen the nail bed and improve the appearance of the nail plate. This involved full-thickness excision of a crescent-shaped wedge of the distal nail bed in all five right sided digits in a single operation. We found this technique to be simple and effective, meeting our patient’s goals after just one excision.
ISSN:2169-7574

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