ArticleDermatology (Basel, Switzerland)2026
Epidemiology and Trends of Nail Disorders (2014-2024): A Single Tertiary-Center Study.
Article in Dermatology (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
<p>Introduction: Nail disorders encompass a wide range of conditions affecting individuals across all age-groups. The aim of the study was to evaluate the workload and trends of nail-related visits (NRVs) in a tertiary outpatient dermatology clinic over a 10-year period.
methodsA retrospective review was conducted of all NRVs to the dermatology outpatient clinic at Sheba Medical Center between January 1, 2014, and February 29, 2024.
resultsA total of 9,064 NRVs were recorded among 4,241 patients, representing 4.8% of 189,481 total dermatology outpatient visits. The mean number of visits per patient was 2.1 (±2.1). Except for 2017 and 2022, the annual proportion of NRVs increased consistently, peaking at 6.8% in early 2024. Females accounted for 54% of NRVs, with a mean age of 44.9 years compared to 43.5 years in males (p < 0.001). Isolated toenail involvement was the most frequent presentation (71.8%). Infectious diseases were the most common category (63.2%), with onychomycosis representing 60.6% of all nail disorders. However, its relative frequency declined significantly over time. Other notable trends included significant rising rates of longitudinal melanonychia, acrylate-induced nail changes, and lateral ingrown nail. Pediatric and elderly NRVs rose significantly over the study period, whereas young adult representation declined.
conclusionsNRVs represent a substantial and increasingly prominent component of dermatologic outpatient care. Shifts in diagnostic patterns, most notably a decline in onychomycosis and a rise in longitudinal melanonychia and acrylate-induced nail changes, highlight the evolving epidemiology of nail disorders. </p>.
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