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Podcast

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Welcome to Clippings, the official monthly podcast of the Council for Nail Disorders where Dr. April Schachtel and Dr. Katherine Stiff take a closer look at articles and clippings published on all things nail disease.  Have ideas for articles or topics of discussion? Let us know!

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Hosts

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Dr. April Schachtel is a board certified dermatologist at the Veterans Affairs Hospital Puget Sound and the University of Washington. Dr. Schachtel completed her medical education and residency training at the University of Washington. Her clinical interests include nail disease and teledermatology. 

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Dr. Katherine Stiff is a clinical research fellow at Metrohealth Hospital, Case Western Reserve University. She received her medical degree from Northeast Ohio Medical University and has developed a particular interest in clinical management  and research of nail disease.

Episodes 

Episode 1 | Apremilast and Intralesional Methotrexate for Nail Psoriasis

Episode 1Clippings
00:00 / 15:43

Episode 1 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Allen OakHoang Ho-PhamBoni ElewskiImprovement of 11 patients with nail psoriasis with apremilast: Results of an investigator-initiated open-label study. J Am Acad Dermatol. 2020 Dec;83(6):1830-1832.

Episode 2 | Lichen Planus Expert Treatment Guidelines and Onychomycosis Quality of Life

Episode 2Clippings
00:00 / 21:30

Episode 3 | Stevens Johnson Syndrome/Toxic Epidermal Necrolysis and Subungual Melanoma

Episode 3 Clippings
00:00 / 16:57

Episode 4 | COVID-19 Related Nail Changes and Artificial Intelligence for Onychomycosis

Episode 4 Clippings
00:00 / 20:32

Episode 5 | Longitudinal Melanonychia (LM) Management During COVID-19 and Pediatric LM

Episode 5Clippings
00:00 / 14:45

Episode 6 | Essential Nail Surgery Techniques and Nail Unit SCC Imaging

Episode 6Clippings
00:00 / 17:42

Episode 8 | Cryosurgery for Myxoid Cysts and Sclerotherapy for Myxoid Cysts

Episode 8Clippings
00:00 / 10:21

Episode 8 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 9 | Nail Toxicities from Targeted Cancer Therapy and Retronychia Management

Episode9Clippings
00:00 / 11:37

Episode 9 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 10 | Melanoma Detection in Nail Salons and Biotin Supplementation

Episode 10Clippings
00:00 / 14:25

Episode 10 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 11 | Melanocyte Distribution in the Nail Plate, Ultrasound Gel in Wart Cryotherapy and Forceps in Nail Surgery

Episode 11Clippings
00:00 / 13:27

Episode 11 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 12 | Dermoscopy of the Nail Unit and Dermoscopy of Pediatric Nail Unit Nevi

Episode 12Clippings
00:00 / 13:07

Episode 12 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 13 | Phenol matricectomy for onychocryptosis and longitudinal pain assessments in nail surgery

Episode 13Clippings
00:00 / 11:19

Episode 13 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 14| Nail Surgery Workshops and Pleomorphic Onychomatricoma

Episodde 14Clippings
00:00 / 12:17

Episode 14 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 15 | MART-1 for Melanocytic Nail Lesions and Nail Unit SCC Invasion Depth

Episode 15Clippings
00:00 / 12:06

Episode 15 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

Episode 16 | EGFR-induced paronychia and CO2 assisted topical vs. intralesional MTX for psoriatic nails 

Episode 16Clippings
00:00 / 13:32

Episode 16 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • “Management of paronychia with pseudopyogenic granulomas secondary to epidermal growth factor receptor inhibitors: An assessment of topical timolol and the need for multiple medical and procedural therapies.” Olamiju, B., Bhullar, S., Coleman, E. L., & Leventhal, J. S. Journal of the American Academy of Dermatology (2021), 84(3), 806-808.

  • "Fractional CO2 Laser-Assisted Delivery Versus Intralesional Injection of Methotrexate in Psoriatic Nails." Alakad, Rania, et al. Dermatologic Surgery (2022): 10-1097.

Episode 17 | Longitudinal nail splitting and melanoma invasion of the hyponychium

Episode 17Clippings
00:00 / 13:32

Episode 17 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Causes of longitudinal nail splitting: a retrospective 56-case series with clinical pathological correlation.” Inthasot S, André J, Richert B. J Eur Acad Dermatol Venereol. 2022 May;36(5):744-753.

  • "Tumor invasion in the hyponychium is associated with distant metastasis and poor prognosis in subungual melanoma: A histologic landscape of 44 cases." Yoo, Hyokyung, et al. Journal of the American Academy of Dermatology 86.5 (2022): 1027-1034.

Episode 18 | Features Digital Myxoid Pseudocysts and Parakeratosis in Nail Unit SCC

Episode18Clippings
00:00 / 12:29

Episode 18 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • “Atypical parakeratosis in nail unit squamous cell carcinoma” Prasad A, Shields BE, Xu YG, Aylward JL, Hinshaw MA. J Cutan Pathol. 2022 Jul;49(7):675-677.53.

  • "Evaluation of the Demographic and Clinical Features of Patients With Digital Myxoid Pseudocysts and Their Response to Treatment.” Güldiken G, Göktay F, Atış G, Güneş P. Dermatol Surg. 2022 Jun 1;48(6):625-630

Episode 19 | Onychomycosis Guideline Adherence, Twitter Learning and Management of Toe-web Infections

Episode 19Clippings
00:00 / 18:08

Episode 19 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Opportunities to improve guideline adherence for the diagnosis and treatment of onychomycosis: analysis of commercial insurance claims data, United States.” Gold, Jeremy AW, et al. Journal of the American Academy of Dermatology (2022): S0190- 9622.

  • "Twitter as a tool for nail education." Nickles, Melissa A., et al. JAAD international 8 (2022): 64-65.

  • "Characteristics, Associated Diseases, and Management of Gram negative Toe-web Infection: A French Experience." Goiset, Anne, et al. Acta Dermato-Venereologica 99.12 (2019)

Episode 20 | Pregnancy and Fetal Risk with Terbinafine, Leukonychia Update

Episode 20Clippings
00:00 / 13:52

Episode 20 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Risk of fetal malformation, spontaneous abortion, and adverse pregnancy outcomes after gestational terbinafine exposure: a systematic review." Foessleitner P, Farr A, Deinsberger J. 
    Journal of Dermatologic Treatment. 2022 Aug 14:1-7.

  • "Leukonychia: What Can White Nails Tell Us?" Iorizzo, Matilde, Michela Starace, and Marcel C. Pasch. 
    American Journal of Clinical Dermatology (2022): 1-17.

Episode 21 | Onychomycosis and Pterygium

Episode 21Clippings
00:00 / 12:48

Episode 21 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "The March Against Onychomycosis: A Systematic Review of the Sanitization Methods for Shoes, Socks, and Textiles." Gupta, Aditya K., Aaron J. Simkovich, and Deanna C. Hall. Journal of the American Podiatric Medical Association 112.4 (2022).

  • "Improvement of pterygium inversum unguis and Raynaud phenomenon with interdigital botulinum toxin injections." Kim, Daniel J., and Ian D. Odell. JAAD Case Reports 26 (2022): 79-81.

Episode 22 | Topical Cyclosporine Hydrogel and Strategies for Enhancement of Nail Plate Permeation of Drugs

Episode 22 - Clippings
00:00 / 14:52

Episode 22 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Topical cyclosporine hydrogel preparation: A new therapeutic option in the treatment of nail psoriasis." Gallo, Giuseppe, et al. Dermatologic Therapy (2022): e15917.

  • "Strategies for the Enhancement of Nail Plate Permeation of Drugs to Treat Onychomycosis." Gupta, Aditya K., et al. Journal of the European Academy of Dermatology and Venereology (2022).

Episode 23 | Pemphigoid Nail Changes and Metastases Systemic Review

Episode 23 - Clippings
00:00 / 11:16

Episode 23 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Nail changes in pemphigus and bullous pemphigoid: A single-center study in China." Cao, Shan, et al. Frontiers in Medicine 9 (2022).

  • "Metastases to the nail unit and distal phalanx: a systematic review.” Curtis, Kaya L., and Shari R. Lipner. Archives of Dermatological Research (2022): 1-12.

Episode 24 | The "X" Suture and Chemotherapy-associated paronychia

Episode 24 - Clippings
00:00 / 08:42

Episode 24 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "The “X” Suture: A Versatile Technique for Nail Apparatus Surgery."  Caycedo, Isabela Dorado, Florence Dehavay, and Bertrand Richert.  Dermatologic Surgery 48.12 (2022): 1362-1364.

  • "Chemotherapy-associated paronychia: Do not forget the children."  Borgia, Paola, et al.
    Journal of the American Academy of Dermatology 88.1(2023): e59.

Episode 25 | Risk of Recurrence of Nail Unit Melanoma after Functional Surgery vs. Amputation; The Untold Burden of Isolated Nail Psoriasis; Sustainied Resolution of Nail Psoriasis through 5 years with Ixekizumab

Episode 25
00:00 / 13:00

Episode 25 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Risk of recurrence of nail unit melanoma after functional surgery versus amputation." Oh, Byung Ho, et al. Journal of the American Academy of Dermatology (2023).

  • "Sustained Resolution of Nail Psoriasis Through 5 Years with Ixekizumab: A Post-Hoc analysis from UNCOVER-3." Egeberg, Alexander, et al. Acta Dermato-Venereologica 102 (2022)

  • "The untold burden of isolated nail psoriasis: delayed diagnosis and significant risk of psoriatic arthritis in a retrospective study at an academic center." Chang, Michelle J., et al. Journal of the American Academy of Dermatology (2023).

Episode 26 | Distinct patient characteristics and pathogenesis of fingernail only vs. fingernail and toenail onychomycosis in a retrospective single-centre academic study. DNA damage and somatic mutations in mammalian cells after irradiation with nail polish dryer.

ClippingsEpisode26
00:00 / 10:36

Episode 26 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Distinct patient characteristics and pathogenesis of fingernail only vs. fingernail and toenail onychomycosis in a retrospective single-centre academic study." Miller, Rhiannon C., and Shari R. Lipner. Journal of the European Academy of Dermatology and Venereology (2022).

  • "DNA damage and somatic mutations in mammalian cells after irradiation with a nail polish dryer." Zhivagui, Maria, et al. Mature Communications 14.1 (2023): 276.

Episode 27 | Longitudinal Erythronychia Secondary to a Wooden Splinter. Intralesional steroid injections for inflammatory nail dystrophies in the pediatric population.

Episode27
00:00 / 08:10

Episode 27 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • "Longitudinal Erythronychia Secondary to a Wooden Splinter." Dowdle TS, Fenner B, Maldonado D, Purser , Tarbox M. Cureus 15.1 2023.

  • Intralesional steroid injections for inflammatory nail dystrophies in the pediatric population." Iorizzo M. Gioia Di Chiacchio N, Di Chiacchio N, Grover C, Lipner SR, Richert B, Piraccini BM, Starace M, Tosti A. Pediatric Dermatology. 2023 Mar 20.

Episode 28 | Effects of Oral Minoxidil on Nails: A Cross-Sectional Analysis. Using Dental Floss Pick and Alternative Packing Material for Ingrown Toenails: A Video Demonstration.

Episode 28
00:00 / 09:57

Episode 28 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Effects of oral minoxidil on nails: a cross-sectional analysis. Alsalhi W, Nguyen B, Morrison BW, Gwillim EC, Tosti A. International Journal of Dermatology. 2023 Feb 2.

  • Using dental floss pick and alternative packing material for ingrown toenails: A video demonstration. Sun Y, Lan CC, Tsai TY, Lin SY. Journal of the American Academy of Dermatology. 2023 Apr 14.

Episode 29 | Notes from the Field: First Reported US Cases of Tinea Caused by Trichophyton Indotineae. Onycholysis and Purpuric Nail Striae in a Child. Nail Involvement in Langerhans Cell Histiocytosis.

Episode 29
00:00 / 13:09

Episode 29 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Notes from the Field: First Reported US Cases of Tinea Caused by Trichophyton indotineae—New York City, December 2021–March 2023. Caplan AS, et al Morbidity and Mortality Weekly Report. 2023 May 5;72(19):536.

  • Onycholysis and purpuric nail striae in a child. Yang L, Wang T, Liu Y. Pediatric Dermatology. 2023 Apr 18.

  • Nail involvement in Langerhans cell histiocytosis and its association with multisystem presentation and lung involvement. Bonometti A, Passoni E, Finotto S, Berti E. Indian Journal of Dermatology, Venereology and Leprology. 2021 Oct 23;87(6):850-4.

Episode 30 | Trends in Hair, Skin and Nails; Pediatric Median Canaliform Nail Dystrophy; Use of Marigold Therapy for Podiatric Skin Conditions.

Episode 30
00:00 / 10:23

Episode 30 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Trends in hair, skin, and nails supplement use: Data from the National Health and Nutrition Examination Survey 2011-2020. Trepanowski N, Moore KJ, Kim DY, Hartman RI. Journal of the American Academy of Dermatology. 2023 Jul 1;89(1):161-3. 

  • Median canaliform nail dystrophy in a 2-year-old boy: Case report and review of the literature. Wilson A, Tariq Khan M, Murrell DF. Pediatric Dermatology. 2022 Nov 13. 

  • The use of marigold therapy for podiatric skin conditions. Hadfield RA, Vlahovic T, Khan MT.
    Foot and Ankle Online Journal. 2008 Jul 1.

Episode 31 | Nail Unit Reconstruction after Surgery for Refractory RTetronychia; Nail Scabies

Episode 31
00:00 / 10:27

Episode 31 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Nail unit reconstruction after surgery for refractory retronychia. Sable KA, Hinshaw MA. Dermatologic surgery. Online ahead of print 12:10-97.

  • Nail scabies: An unusual presentation often overlooked and mistreated. Tempark T, Lekwuttikarn R, Chatproedprai S, Wananukul S. Journal of Tropical Pediatrics. 2017 Apr 1;63(2):155-9.

Episode 32 | Review on Chemical Peels for Nail Surface Rejuvenation; A New Method to Treat Onychopapilloma with Pulsed Dye Laser Irradiation: a 13-case series report

Episode 32
00:00 / 11:43

Episode 32 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Review on Chemical Peels for Nail Surface Rejuvenation. Lam W, Tosti A. Skin Appendage Disord. 2023 Aug;9(4):237-240.

  • A New Method to Treat Onychopapilloma with Pulsed Dye Laser Irradiation: a 13-case series report. Fan X, Li T, Zhang X, Yang J, Cui J, Dou W, Yin Y, Yang Q, Xue P, Liu B, Li Y. Journal of Dermatological Treatment. 2023 Dec 31;34(1):2213363.

Episode 33 | Nail Amyloidoma: Two Case Reports of a New Entity; Nail Disorders in Skin of Color: A Retrospective Chart Review over a 5-year Period

Episode33
00:00 / 08:57

Episode 33 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • NAIL AMYLOIDOMA: TWO CASE REPORTS OF A NEW ENTITY. Bonito F, Kolivras A, Sass U, Richert B. Skin Appendage Disorders. 2023 Jun 6;9(3):216-20.

  • NAIL DISORDERS IN SKIN OF COLOR: A RETROSPECTIVE CHART REVIEW OVER A 5-YEAR PERIOD. Schneider C, Williams NM, Morrison BW, Tosti A. Journal of the American Academy of Dermatology. 2023.

Episode 34 | A Survey of Skin Reactions Associated with Acrylic Nail Cosmetics, with a Focus on Home Kits: Is There a Need for Regulations?; Combination of Acetaminophen and Ibuprofen is Non-Interior to Acetaminophen and Hydrocodone for Post-Nail Procedures Analgesia: A Randomized Controlled Trial; A Breath of Fresh Air: Use of Deep Breathing Technique to Minimize Pain with Nail Injections

episode34
00:00 / 12:24

Episode 34 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • A Survey of Skin Reactions Associated With Acrylic Nail Cosmetics, with a Focus on Home Kits: Is There a Need for Regulation? Guenther J, Norman T, Wee CP, Adler BL Dermatitis (2023). 

  • Combination of Acetaminophen and Ibuprofen is Non-Inferior to Acetaminophen and Hydrocodone for Post-Nail Procedure Analgesia: A Randomized Controlled Trial. Hwang JK, Ricardo JW, Lipner SR
    Journal of the American Academy of Dermatology (2023).

  • A Breath of Fresh Air: Use of Deep Breathing Technique to Minimize Pain with Nail Injections.
    Hill RC, Chernoff KA, Lipner SR. Journal of the American Academy of Dermatology. (2023).

Episode 35 | Intralesional cidofovir for the treatment of recalcitrant periungual warts; Onychoscopic characteristics of Trichophyton rubrum and Trichophyton Interdigitalis final infections: A multicentric study.

episode35
00:00 / 10:38

Episode 35 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Intralesional cidofovir for the treatment of recalcitrant periungual warts.  Poppens M, Davis J. Journal of Dermatological Treatment. 2023 Dec 31;34(1):2154569.

  • Onychoscopic characteristics of Trichophyton rubrum and Trichophyton Interdigitalis fungal infections: A multicentric study. Starace M, Milan E, Summa G, Alessandrini AM, Sechi A, Iorizzo M, Di Chiacchio NG, Di Chiacchio N, Piracini BM. Mycoses. 2023 Nov 15.

Episode 36 | Nail Unit Dermoscopy (Onychoscopy) in the Differential Diagnosis of Erythroderma; Cross-Poloarized Photography of the Nail Unit: A Practical Way to Eliminate Specular Reflections on the Nail Plate; How We Do It: Intraoperative Cross-Polarized Photography as an Alternative to Intraoperative Dermoscopy During Nail Surgery.

Episode36
00:00 / 08:57

Episode 36 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Nail Unit Dermoscopy (onychoscopy) in the Differential Diagnosis of Erythroderma.  Zychowska M, Tognetti L. Journal of the European Academy of Dermatology and Venereology. 2023 May;37(5):e663-5.

  • Cross-Polarized Photography of the Nail Unit: A Practical Way to Eliminate Specular Reflections on the Nail Plate.  Goktay F, Erdem O. Skin Appendage Disorders. 2023 Jun 1;9(4):313-6.

  • How We Do It: Intraoperative Cross-Polarized Photography as an Alternative to Intraoperative Dermosopy During Nail Surgery.  Erdem O, Goktay F, Atis G, Erdemir VA. Dermatologic Surgery. 2022 May 12:10-97.

Episode 37 | Case 39-2023: A 43-yr-old woman with Chronic Diarrhea, Hair Loss, and Nail and Skin Changes. Looking Beyond the Hutchinson Sign.

Episode 37
00:00 / 11:50

Episode 37 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Case 39-2023: A 43-yr-old woman with Chronic Diarrhea, Hair Loss, and Nail and Skin Changes. Lai JC, Wu WC, Chan WA, Lau LH, Leung HH. New England Journal of Medicine. 2023 Dec 21;389(25):2377-85.

  • Looking Beyond the Hutchinson Sign: A retrospective study of Clinical Factors indicating the Presence and Invasiveness of Nail Unit Melanoma in Patients with Longitudinal Melanonychia. Lee SG, Oh BH, Schung KY, Roh MR. Dermatologic Surgery. 2024 Jan 1;50(1):2107.

Episode 38 | Vitamins for the Management of Nail Disease. Nail Psoriasis in China: A Prospective Multicentre Study.

episode38
00:00 / 12:26

Episode 38 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Vitamins for the Management of Nail Disease: A Literature Review. Lipner S, Curtis K. Skin Appendage Disorders 2023 Nov.

  • Nail Psoriasis in China: A prospective multicentre study. Wang S, Zhu J, Wang P, Dong J, Li Y, Shi D, Wang H, Huang X, Zhang X, Yu B, Yang Z. Journal of the European Academy of Dermatology and Venereology. 2023 Dec 15.

Episode 39 | Effects of additional oral fosravuconazolel-lysine ethanolatetherapy following inadequate response to initial treatment for onychomycosis: A multicenter, randomized controlled trial; Total Chemical Matricectomy with 88% Phenol: A Prospective Case Series of 37 Patients.

episode39
00:00 / 10:21

Episode 39 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Effects of additional oral fosravuconazolel-lysine ethanolatetherapy following inadequate response to initial treatment for onychomycosis: A multicenter, randomized controlled trial. Naka W, TsunemiY. The Journal of Dermatology. 2024 Mar 14.

  • Total Chemical Matricectomy with 88% Phenol: A Prospective Case Series of 37 Patients. Matter A, Di ChiacchioNG, IorizzoM, Di ChiacchioN. Dermatologic Surgery. 2024

Episode 40 | Prosthetic Resin Nail Improves Quality of life in Patients with Retronychia in a single-center clinical trial; Treatment of Malignant Onychopapilloma with Mohs Micrographic Surgery: A Novel Approach to a Newly Described Nail Unit Malignant Neoplasm.

episode40
00:00 / 09:06

Episode 40 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:

  • Prosthetic resin nail improves quality of life in patients with retronychia in a single-center clinical trial. Curtis KL, Ricardo JW, Shaikh B, VlahovicTC, LipnerSR. Journal of the American Academy of Dermatology. 2024 Mar 8.

  • Treatment of Malignant Onychopapilloma with Mohs Micrographic Surgery: A Novel Approach to a Newly Described Nail Unit Malignant Neoplasm. Haynes D, Rubin AI, H William Higgins II. Dermatologic Surgery. 2024

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