Nail lesions can be related to a number of disease states. These may be int
rinsic to the nail, caused by infection, or reflect systemic disease. Caref
ul history and examination often is necessary for accurate diagnosis. Anato
my and gross changes of the nail are reviewed. The diagnosis and treatment
of disease process such as psoriasis, lichen planus, paronychia, onychomyco
sis, myxoid cysts, and pincer nails are reviewed.