Respuesta al tratamiento con lámina artificial en pacientes con uña en pinza

• A. Ávila Álvarez ^[2] ; Natali Naranjo Bustamante ^[2] ; María Camila Vélez Peláez ^[1] ; Luz Marina Gómez Vargas ^[2] ; Diana Paola Cuesta Castro ^[1]
  1. [1] Universidad Pontificia Bolivariana

     Universidad Pontificia Bolivariana

     Colombia

     
  2. [2] Centro Especializado en Cáncer de Piel Aurora, Medellín, Colombia
• Localización: Piel: Formación continua en dermatología, ISSN 0213-9251, Vol. 38, Nº. 6 (JUNIO - JULIO), 2023, págs. 363-368
• Idioma: español
• DOI: 10.1016/j.piel.2022.11.004
• Títulos paralelos:
  • Response to treatment with artificial foil in patients with a diagnosis of pincer nail
• Enlaces
  • Texto Completo Ejemplar
• Resumen
  • español

    Objetivo: evaluar los efectos del tratamiento con lámina artificial ungular y el grado de satisfacción en los pacientes con diagnóstico de uña en pinza, tratados en 2 centros de referencia dermatológica, desde 2016 hasta 2020 en la ciudad de Medellín.

    Métodos: estudio observacional de cohortes. Se incluyeron pacientes con diagnóstico de uña en pinza que recibieron un tratamiento conservador mediante la aplicación de una lámina artificial ungular y seguimiento de 6 meses. Se comparó el índice de curvatura de la lámina ungular antes y a los 6 meses de uso de la lámina artificial ungular y la satisfacción con el tratamiento.

    Resultados: se incluyeron 17 láminas ungulares de 9 mujeres. El hallux fue el dedo predominantemente afectado. El 44,4% de las pacientes refirieron estar satisfechas con el tratamiento después de 6 meses de uso y 33,3% refirieron estar muy satisfechas. Ninguna paciente presentó eventos adversos. La mediana del índice de curvatura inicial fue 1,25 (RIQ 1,17-1,44) con cambios mínimos en el seguimiento. Después de 6 meses de uso de lámina artificial el índice de curvatura disminuyó en -0,08 (IC95% -0,47 a 0,02), valor p = 0,166 evaluado en el seguimiento final.

    Conclusión: el uso de lámina artificial para la corrección de uña en pinza se plantea como una herramienta cómoda, conservadora y segura. Se requieren tiempos de seguimiento más prolongados para determinar el riesgo de recurrencia

  • English

    Objective: To evaluate the effects of treatment with artificial nail plate and the level of satisfaction in patients with a diagnosis of claw nail treated in two dermatological reference centers between 2016 and 2020.

    Methods: Observational cohort study. Patients with a diagnosis of pincer nail who received conservative management through the application of an artificial nail plate and had sixmonth follow-up were included. The curvature index of the nail plate was compared before and after six months of use of the artificial nail plate and satisfaction with the treatment was evaluated.

    Results: A total of 17 nail plates from nine women were included. Hallux was the predominantly affected finger, 44.4% of patients reported being satisfied with the conservative management after six months of use and 33.3% reported being very satisfied. No patient presented adverse events. The median initial curvature index was 1.25 (IQR 1.17-1.44) with minimal changes at follow-up. After 6 months of use of the artificial sheet, the curvature index decreased by -0.08 (95% CI -0.47 to 0.02), p-value 0.166 evaluated in the final follow-up.

    Conclusions: The use of artificial foil for the correction of a clamping nail is considered a comfortable, conservative and safe tool for patients. Longer follow-up times are required to determine the risk of recurrence.

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