Drug-induced and traumatic nail problems in the haemophilias
Michael Heim Department of Orthopaedic Rehabilitation, The Chaim Sheba Medical Center, Tel-Hashomer 52621, Israel. Tel.: + 972 3 5303702; fax: + 972 3 5355944
Abstract
Many persons with haemophilia suffer from HIV and receive highly active antiretroviral therapy. Three patients received indinavir and required surgery due to ingrown toenails. Two patients suffered from a traumatic subungual haematoma. The treatment protocol is described whereby the pressure exerted onto the germinal layer and the nail bed is relieved in order to alleviate pain and nail matrix damage.
