{"id":3066668,"date":"2022-02-05T08:26:00","date_gmt":"2022-02-05T13:26:00","guid":{"rendered":"https:\/\/myendoconsult.com\/learn\/?p=3066668"},"modified":"2023-03-16T05:50:51","modified_gmt":"2023-03-16T10:50:51","slug":"plummers-nails","status":"publish","type":"post","link":"https:\/\/myendoconsult.com\/learn\/plummers-nails\/","title":{"rendered":"Plummer\u2019s nails"},"content":{"rendered":"<p>Onycholysis occurring in the setting of <a href=\"https:\/\/myendoconsult.com\/learn\/hyperthyroidism-an-algorithm-based-approach\/\">hyperthyroidism<\/a> is classically referred to as Plummer\u2019s nails. This condition typically runs a chronic clinical course and may resolve or improve after treating the underlying cause<sup>1<\/sup>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Plummers-nail.png\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" srcset=\"https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Plummers-nail.png 540w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Plummers-nail-300x300.png 300w, https:\/\/myendoconsult.com\/learn\/wp-content\/uploads\/Plummers-nail-150x150.png 150w\" alt=\"\" width=\"540\" height=\"540\" \/><\/p>\n<h2>Clinical features of Plummer\u2019s nails<\/h2>\n<p>Onycholysis has eponymously been referred to as \u201cPlummer\u2019s nails.\u201d Dr. Henry Stanley Plummer of Mayo Clinic described this unique clinical finding in 1918. There are various characteristic features of dystrophic nails in hyperthyroidism, including the unique \u201cscoop shovel\u201d appearance and flattening of the fingernails<sup>2<\/sup>.<\/p>\n<p>Plummer\u2019s nails present as a separation of the distal aspect of the nail plate from its underlying nail bed (mainly involving its distal and lateral regions of the nail plate). It is an inconsistent physical finding and occurs in approximately 5% of patients with hyperthyroidism<sup>3<\/sup>.<\/p>\n<h2>Differential diagnoses of Plummer\u2019s disease<\/h2>\n<p>There are various endocrine and non-endocrine causes of Plummer\u2019s nails<sup>4<\/sup><\/p>\n<ul>\n<li>Psoriatic arthritis<\/li>\n<li>Sarcoidosis<\/li>\n<li>Syphilis<\/li>\n<li>Trauma<\/li>\n<li>Lung malignancy<\/li>\n<li>Drugs (tetracyclines, bleomycin, paclitaxel, and fluoroquinolones)<\/li>\n<li>Bronchiectasis<\/li>\n<li><a href=\"https:\/\/myendoconsult.com\/learn\/hypothyroidism-mnemonic\/\">Hypothyroidism<\/a> and Hyperthyroidism<\/li>\n<\/ul>\n<h2>Pathophysiology of Plummer\u2019s nails<\/h2>\n<p>The cause of onycholysis remains unclear, although hyperthyroidism-induced catabolism and rapid growth of the underlying nail bed are possible reasons for the separation of the nail from the nail bed<sup>4<\/sup>.<\/p>\n<h2>Reference<\/h2>\n<ol>\n<li>Malumani M, Zhu D, Wu J, Song J Quan. Onycholysis an early indicator of thyroid disease. <em>PAMJ<\/em>. 2019;32(31). doi:10.11604\/pamj.2019.32.31.17653<\/li>\n<li>Luria MN, Asper SP JR. Onycholysis in hyperthyroidism. <em>Ann Intern Med<\/em>. 1958;49(1):102-108. doi:10.7326\/0003-4819-49-1-102<\/li>\n<li>Atia A, Johnson B, Abdelmalak H, Sinnott B. Visual Vignette. <em>Endocr Pract<\/em>. 2008;14(1):132-132. doi:10.4158\/EP.14.1.132<\/li>\n<li>Ghayee HK, Mattern JQA, Cooper DS. Dirty Nails. <em>J Clin Endocrinol Metab<\/em>. 2005;90(4):2428-2428. doi:10.1210\/jc.2004-2439<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Onycholysis occurring in the setting of hyperthyroidism is classically referred to as Plummer\u2019s nails. This condition typically runs a chronic clinical course and may resolve or improve after treating the underlying cause1. Clinical features of Plummer\u2019s nails Onycholysis has eponymously been referred to as \u201cPlummer\u2019s nails.\u201d Dr. Henry Stanley Plummer of Mayo Clinic described this [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3066668","post","type-post","status-publish","format-standard","hentry","category-uncategorized","post-wrapper","thrv_wrapper"],"_links":{"self":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/3066668","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/comments?post=3066668"}],"version-history":[{"count":18,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/3066668\/revisions"}],"predecessor-version":[{"id":4415916,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/posts\/3066668\/revisions\/4415916"}],"wp:attachment":[{"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/media?parent=3066668"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/categories?post=3066668"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/myendoconsult.com\/learn\/wp-json\/wp\/v2\/tags?post=3066668"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}