RESUMO
With the onset of the SARS-CoV-2 pandemic, a number of nail unit changes have been associated with SARS-CoV-2 infection. We report a new unique nail finding within one month of infection and RT-PCR test positivity characterized by an abrupt proximal superficial nail plate change characteristic of shoreline nails. The possibility that this nail change may represent a Koebner phenomenon in patients prone to lichen planus is raised. J Drugs Dermatol. 2022;21(5):521-522. doi:10.36849/JDD.2105.
Assuntos
COVID-19 , Líquen Plano , Doenças da Unha , COVID-19/diagnóstico , Humanos , Líquen Plano/diagnóstico , Doenças da Unha/diagnóstico , Unhas , SARS-CoV-2RESUMO
Congress set requirements for child welfare agencies to respond to emotional trauma associated with child maltreatment and removal. In meeting these requirements, agencies should develop policies that address child trauma. To assist in policy development, this study analyzes more than 14,000 clinical assessments from child welfare in Illinois. Based on the analysis, the study recommends child welfare agencies adopt policies requiring that (1) mental health screenings and assessments of all youth in child welfare include measures of traumatic events and trauma-related symptoms; (2) evidence-based, trauma-focused treatment begin when a youth in child welfare demonstrates a trauma-related symptom; and (3) a clinician not diagnose a youth in child welfare with a mental illness without first addressing the impact of trauma. The study also raises the issue of treatment reimbursement based on diagnosis.
Assuntos
Proteção da Criança/legislação & jurisprudência , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Adolescente , Criança , Maus-Tratos Infantis/legislação & jurisprudência , Maus-Tratos Infantis/prevenção & controle , Maus-Tratos Infantis/psicologia , Proteção da Criança/estatística & dados numéricos , Pré-Escolar , Grupos Diagnósticos Relacionados/economia , Grupos Diagnósticos Relacionados/legislação & jurisprudência , Feminino , Humanos , Illinois , Lactente , Recém-Nascido , Masculino , Programas de Rastreamento/legislação & jurisprudência , Programas de Rastreamento/mortalidade , Programas de Rastreamento/estatística & dados numéricos , Transtornos Mentais/diagnóstico , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Formulação de Políticas , Escalas de Graduação Psiquiátrica , Mecanismo de Reembolso , Transtornos de Estresse Pós-Traumáticos/etiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estados UnidosRESUMO
Common skin diseases often present with nail changes. This article reviews the nail manifestations of psoriasis, lichen planus, alopecia areata, and twenty-nail dystrophy. There is considerable overlap in the nail findings in these cutaneous conditions, but nail changes distinct to each do exist.
