Severe Onychodystrophy due to Allergic Contact Dermatitis from Acrylic Nails.

摘要: Acrylic nails, including sculptured nails and the new ultraviolet-curable gel polish lacquers, have been associated with allergic contact dermatitis (ACD). We report 2 cases of ACD to acrylic severe onychodystrophy psoriasiform changes onycholysis subungual hyperkeratosis. In both cases, patients did not realize association between use acrylate-based manicures nail changes. One patient had previously misdiagnosed treated unsuccessfully for psoriasis. The informed clinician should elicit a history manicure in these changes, especially suspected psoriasis refractory treatment. Patch testing is useful tool confirming diagnosis.