Retrospective Evaluation of Ingrown Toenail Cases in a Tertiary Reference Center

Didem Dincer RotaDepartment of Dermatology and Veneorology, Ufuk University Hospital, Ankara Turkey.

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Efsun TanacanDepartment of Dermatology and Veneorology, Ufuk University Hospital, Ankara Turkey.

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Gulhan Aksoy SaracDepartment of Dermatology and Veneorology, Ufuk University Hospital, Ankara Turkey.

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Fatma Gulru ErdoganDepartment of Dermatology and Veneorology, Ufuk University Hospital, Ankara Turkey.

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Abstract

Background: To evaluate the clinical characteristics of ingrown toenail cases in one of the biggest reference centers.

Methods: This retrospective cohort study was conducted on patients admitted to Ufuk University Hospital with ingrown toenail between January 1. 2014 and December 31. 2019. Firstly, clinical charactersitcs and demographic features of all cases were evaluated afterwards the study population was divided into two groups: 1) Group1(Patients who were ≤ 20 years old), 2) Group 2 (Patients who were >20 years old) and these groups were compared in terms of their clinical findings.

Results: Duration of diseases, BMI, rate of medications for chronic diseases and rate of joint diseases were significantly higher in group 2. On the other hand, rates of hyperhidrosis and sudden weight gain were significantly higher in group 1(p<0.05). Severity of ingrown toenail was significantly different between the groups (p=0.006). Stage 1 was the most common stage in both groups and rate of stage 3 was higher in group 1. Onycoshisis and was more common in group 1 while nail thickening was more common in group 2 (p<0.05). Medications were also significantly different between the groups as nail wire and Aluminum chloride were the most common treatment modalities in group 2 and 1, respectively (p<0.05). Periungual edema, presence of pus, hypertrophie and granulation were more common in group 1 (p<0.05). Thin nail plate was more common in group 1 while normal and thick nail nail plate were more common in group2 (p<0.05).

Conclusion: Clinical characteristics of ingrown toe nail vary between younger and older populations. Thus, individualized approach should be preferred in the management of ingrown toe nail for different age groups.

Corresponding Author: Efsun Tanacan, Department of Dermatology and Veneorology, Ufuk University Hospital, Ankara Turkey. (E-mail: efsunkln@yahoo.com)