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Pearls
ARTICLE IN PRESS
doi:
10.25259/IJDVL_98_2022

Customised and pre-designed foam hand templates for onychoscopy

Department of Dermatology, Maharishi Markandeshwar Institute of Medical Sciences & Research, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India
Department of General Medicine, Maharishi Markandeshwar Institute of Medical Sciences & Research, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India
Corresponding author: Dr. Sanjeev Gupta, #B2, MM Medical College Residential Campus, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, Haryana, India. sanjeevguptadr@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Gupta S, Gupta S, Khatri M, Mahendra A. Customised and pre-designed foam hand templates for onychoscopy. Indian J Dermatol Venereol Leprol doi: 10.25259/IJDVL_98_2022

Problem

Onychoscopy is a simple, office-based, non-invasive procedure, which is a second link between naked eye examination and nail biopsy. As such, there are no standard techniques described for onychoscopy. The examination of the distal nail plate and distal nail fold is difficult because of convexity and a distal free end. As a result of which, it becomes difficult to hold the dermoscope in a stable position at the distal end of the nail plate, causing distortion of views and the images clicked.

Solution

To overcome this problem, we suggest using a foam piece as a cushion for placing the dermoscope at the distal end of the nail plate. A simple packing foam piece of any colour of desired thickness is taken and the impression of fingers of one or both hands, with or without the thumb is marked on the foam with a pen and cut accordingly. The single-hand template can be used for the opposite hand by using the reverse side of the template. The fingers fit well in the window created and the dermoscope can then be held in a stable position at the distal end because of a stable platform provided by the foam piece [Figure 1, Video 1]. Few standard templates of adult males, females and children of broad age groups can be customised and used for most patients. To make it attractive for children for better compliance, some sticker art can be pasted on the foam piece [Figure 2]. A cling film can be wrapped over the template to minimise cross-infection. This simple, economical, easy to create framework can bring a change in the technique of onychoscopy and improve the quality of images [Video 1].

Figure 1:: Onychoscopy of an adult case using a foam piece as a cushion at the distal end
Figure 2:: Onychoscopy of a paediatric case using coloured foam piece with sticker art as cushion

Declaration of patient consent

Patient’s consent is not required as there are no patients in this study.

Financial support and sponsorship

Nil.

Conflict of interest

There are no conflicts of interest.


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