Nail changes in patients admitted in a psychiatric hospital: A cross sectional study

Tasleem Arif, Iffat Hassan, Konchok Dorjay, Mushtaq Ahmad Margoob, Parvaiz Anwar, Sheikh Shoib


Objective To study the nail changes in admitted patients with primary psychiatric diseases.


Methods This cross-sectional hospital based study was conducted in admitted psychiatric patients over a period of one year. Sequential 148 admitted patients with a primary psychiatric illness were studied.


Results This study comprised of 148 patients, 112 males and 36 females. Schizophrenia was the commonest psychiatric diagnosis, comprising 57 (38.5%) patients followed by mania seen in 27 (18.2%) patients. Nail changes were seen in 57 (38.5%) patients. Longitudinal ridging was the most common presentation seen in 16 (10.8%) patients, followed by dystrophic nail in 9 (6%) patients, hang nail 8 (5.4%), traumatic nail 7 (4.7%), paronychia 7 (4.7%), longitudinal melanonychia 6 (4%), petechial hemorrhage 5 (3.3%) and focal pigmentation in 5 (3.3%) patients.


Conclusion Nail manifestations are common in the psychiatric patients. Understanding the causes of nail changes in these patients can help in the prevention of the same.



Hang nail, longitudinal ridging, nail changes, psychiatric patients

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