review · Cutis
Long-term practice and performance with a musical instrument predispose musicians to several skin conditions and nail disorders.We conducted a comprehensive literature search of the PubMed, Scopus, and Google Scholar databases for articles on nail alterations in musicians.Complications were divided into modifications of the nail surface and nail plate, soft-tissue abnormalities, and periungual tissue and distal pulp disorders.Health care professionals should be aware of these various modifications related to the use of musical instruments and provide preventive measures. PRACTICE POINTS Long-term practice and performance with a musical instrument predispose musicians to several skin conditions and nail disorders. Nail alterations in musicians include onychodystrophy, callosities of the fingertips, paronychia, distal onycholysis, lamellar onychoschizia, striations, subungual hemorrhage, and occupational Raynaud phenomenon. Nail lesions in musicians may be caused by localized pressure, friction-induced mechanical forces, allergic or irritant contact dermatitis, or infections.
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DOI: 10.12788/cutis.1049
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