COUNCIL FOR
NAIL DISORDERS
Podcast
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!
Hosts
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.
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 1 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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Allen Oak, Hoang Ho-Pham, Boni Elewski. Improvement 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.
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Paras Choudhary, Rajesh Datt Mehta, Bhikam Chand Ghiya, Divya Sharma. Treatment of nail psoriasis with intramatrical methotrexate: An uncontrolled prospective study of 20 patients. J Am Acad Dermatol. 2020 [Online Ahead of Print].
Episode 2 | Lichen Planus Expert Treatment Guidelines and Onychomycosis Quality of Life
Episode 2 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
Episode 3 | Stevens Johnson Syndrome/Toxic Epidermal Necrolysis and Subungual Melanoma
Episode 3 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
Episode 4 | COVID-19 Related Nail Changes and Artificial Intelligence for Onychomycosis
Episode 4 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
Episode 5 | Longitudinal Melanonychia (LM) Management During COVID-19 and Pediatric LM
Episode 5 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
Episode 6 | Essential Nail Surgery Techniques and Nail Unit SCC Imaging
Episode 6 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
Episode 7 | Nail Psoriasis as Coronary Risk Factor and Terbinafine 10% Solution for Onychomycosis
Episode 7 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
Episode 8 | Cryosurgery for Myxoid Cysts and Sclerotherapy for Myxoid Cysts
Episode 8 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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Böhler-Sommeregger K and Kutschera-Hienert G.Cryosurgical management of myxoid cysts. J Dermatol Surg Oncol 1988; 14: 1405–1408.
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Esson, Gavin A., and Stephen A. Holme. Treatment of 63 subjects with digital mucous cysts with percutaneous sclerotherapy using polidocanol. Dermatologic Surgery 42.1 (2016): 59-62.
Episode 9 | Nail Toxicities from Targeted Cancer Therapy and Retronychia Management
Episode 9 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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Wetzel ML, Rubin AI, Hanania H, Patel AB. Treatment recommendations for nail unit toxicities secondary to targeted cancer therapy based on collective experience and evidence-based literature review. Journal of American Academy of Dermatology. 2021 [Epub ahead of print].
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Kim BR, Hur K, Lee SR, Cho S, Park H, Mun JH. Clinical features and treatment outcomes of retronychia: A multicenter retrospective analysis in Korea. Journal of American Academy of Dermatology. 2021 [Epub ahead of print].
Episode 10 | Melanoma Detection in Nail Salons and Biotin Supplementation
Episode 10 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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Gaghan, Lindsey J., Helen Bui, Shari R. Lipner, Nathaniel J. Jellinek, and Julie E. Mervak. Evaluation of a community education tool for detection of nail melanoma by nail salon technicians. Journal of American Academy of Dermatology. 2021 [Epub ahead of print].
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Waqas, Bukhtawar, Alan Wu, Elizabeth Yim, and Shari R. Lipner. A survey-based study of physician practices regarding biotin supplementation. Journal of Dermatological Treatment. 2020 [Epub ahead of print].
Episode 11 | Melanocyte Distribution in the Nail Plate, Ultrasound Gel in Wart Cryotherapy and Forceps in Nail Surgery
Episode 11 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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Vedamurthy M, Raghupathy S, Vanasekar P. Use of ultrasound gel to increase efficacy of cryotherapy in treatment of warts. J Am Acad Dermatol. 2021 [Epub ahead of print].
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Cai W, Wu C, Peng J, Chen M. “Application of Forceps in The Operation of Nail or Toenail. J Am Acad Dermatol. 2021 [Epub ahead of print].
Episode 12 | Dermoscopy of the Nail Unit and Dermoscopy of Pediatric Nail Unit Nevi
Episode 12 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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Iorizzo M, Starace M, Di Altobrando A, Alessandrini A, Veneziano L, Piraccini BM. “The value of dermoscopy of the nail plate free edge and hyponychium.” J Eur Acad Dermatol Venereol. 2021 Dec;35(12):2361-2366.
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Lee J, Park S, Lee D, Jang KT, Kwon EJ. "Longitudinal brush pigmentation on the hyponychium, a dermoscopic feature observed in pediatric nail matrix nevi.” J Am Acad Dermatol. 2021 Jun;84(6):1758-1760.
Episode 13 | Phenol matricectomy for onychocryptosis and longitudinal pain assessments in nail surgery
Episode 13 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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Vinay K, Narayan V, Thakur V, Choudhary R, Narang T, Dogra S, Varthya SB. “Efficacy and safety of phenol based partial matricectomy in treatment of onychocryptosis: A systematic review and meta-analysis.” J Eur Acad Dermatol Venereol. [Epub ahead of print].
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Ricardo JW, Qiu Y, Lipner SR. "“Longitudinal perioperative pain assessment in nail surgery.” J Am Acad Dermatol. [Epub ahead of print].
Episode 14| Nail Surgery Workshops and Pleomorphic Onychomatricoma
Episode 14 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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“Hands-On Nail Surgery Workshop Leads to Sustained Improvement in Comfort With Nail Surgery.” Stiff KM, Jellinek NJ, Knackstedt TJ. Dermatol Surg. 2021 Dec 1 [Epub ahead of print].
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“Pleomorphic Onychomatricoma: A Mimicker of Malignancy” Perrin C, Ambrosetti D. Acta Derm Venereol. 2022 Jan 5 [Epub ahead of print].
Episode 15 | MART-1 for Melanocytic Nail Lesions and Nail Unit SCC Invasion Depth
Episode 15 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"A Retrospective study of Nail Squamous Cell Carcinoma at a Single Tertiary Center: A Relationship between longitudinal melanonychia and depth of invasion.” Lee, Jongeun, et al. Journal of the American Academy of Dermatology. 2022 [Epub ahead of print].
Episode 16 | EGFR-induced paronychia and CO2 assisted topical vs. intralesional MTX for psoriatic nails
Episode 16 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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“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.
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"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 17 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"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.
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"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
Episode 18 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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“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.
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"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 19 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"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.
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"Twitter as a tool for nail education." Nickles, Melissa A., et al. JAAD international 8 (2022): 64-65.
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"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 20 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"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 21 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"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).
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"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 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"Topical cyclosporine hydrogel preparation: A new therapeutic option in the treatment of nail psoriasis." Gallo, Giuseppe, et al. Dermatologic Therapy (2022): e15917.
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"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 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"Nail changes in pemphigus and bullous pemphigoid: A single-center study in China." Cao, Shan, et al. Frontiers in Medicine 9 (2022).
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"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 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"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.
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"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 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"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).
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"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)
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"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.
Episode 26 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"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).
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"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.
Episode 27 features Dr. April Schachtel and Dr. Katherine Stiff reviewing the following recent publications:
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"Longitudinal Erythronychia Secondary to a Wooden Splinter." Dowdle TS, Fenner B, Maldonado D, Purser , Tarbox M. Cureus 15.1 2023.
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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.