- Email: [email protected]
Using a transparent plastic cup over a nail clipper to facilitate nail sampling
Accepted Manuscript Using a transparent plastic cup over a nail clipper to facilitate nail sampling Saad Altalhab, MD, Mohammed I. AlJasser, MBBS FRCPC PII:
S0190-9622(19)30907-7
DOI:
https://doi.org/10.1016/j.jaad.2019.06.004
Reference:
YMJD 13524
To appear in:
Journal of the American Academy of Dermatology
Received Date: 24 May 2019 Accepted Date: 3 June 2019
Please cite this article as: Altalhab S, AlJasser MI, Using a transparent plastic cup over a nail clipper to facilitate nail sampling, Journal of the American Academy of Dermatology (2019), doi: https:// doi.org/10.1016/j.jaad.2019.06.004. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
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Department of Dermatology, College of Medicine, Al Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia. Email: [email protected] 2
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Saad Altalhab MD1; Mohammed I. AlJasser MBBS FRCPC2
Division of Dermatology, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Email: [email protected]
Corresponding author Saad Altalhab, MD Assistant professor and consultant dermatologist Department of Dermatology, College of Medicine Al Imam Mohammad Ibn Saud Islamic University (IMSIU) P.O. Box 7544, Riyadh 13317 Saudi Arabia E-Mail: [email protected] [email protected]
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Using a transparent plastic cup over a nail clipper to facilitate nail sampling
Funding Sources: None
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Conflict of interest: None disclosed
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Word count: 144
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Tables: 0
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Figures: 2
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References: 0
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Key words: cup, plastic, nail, clipper, sampling, onychomycosis, fungal culture
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Challenge
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Nail clipping is one of the diagnostic methods in dermatology. It is mainly used to take
30
nail samples for the diagnosis of onychomycosis. One potential problem is losing the
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sample while cutting due to the strong force applied by the nail clipper. This problem
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could be partially solved by placing the hand or a piece of gauze over the nail clipper.
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However, that would usually obscure the view and not allow for accurate sampling.
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Solution
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To overcome this, a transparent plastic cup is used. The nail clipper is inserted into the
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cup from the side (Fig. 1). The same can be done using the lower part of a plastic water
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bottle. The digit is introduced into the cup through the open end (Fig. 2). When cutting
39
the nail, the cup will help in capturing the nail sample into the created cavity (Fig. 2).
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ACCEPTED MANUSCRIPT
Acknowledgements
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None
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ACCEPTED MANUSCRIPT
Figure legend
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Figure 1. The nail clipper is inserted from the side into a transparent plastic cup (upper row) or part of a water bottle (lower row).
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Figure 2. Toe is introduced through the open end of the cup (left). After cutting, the nail sample was trapped in the created cavity (middle, right).
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S0190-9622(19)30907-7
DOI:
https://doi.org/10.1016/j.jaad.2019.06.004
Reference:
YMJD 13524
To appear in:
Journal of the American Academy of Dermatology
Received Date: 24 May 2019 Accepted Date: 3 June 2019
Please cite this article as: Altalhab S, AlJasser MI, Using a transparent plastic cup over a nail clipper to facilitate nail sampling, Journal of the American Academy of Dermatology (2019), doi: https:// doi.org/10.1016/j.jaad.2019.06.004. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
ACCEPTED MANUSCRIPT
8 9 10 11 12 13 14 15 16 17 18 19 20
1
Department of Dermatology, College of Medicine, Al Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia. Email: [email protected] 2
RI PT
6 7
Saad Altalhab MD1; Mohammed I. AlJasser MBBS FRCPC2
Division of Dermatology, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. Email: [email protected]
Corresponding author Saad Altalhab, MD Assistant professor and consultant dermatologist Department of Dermatology, College of Medicine Al Imam Mohammad Ibn Saud Islamic University (IMSIU) P.O. Box 7544, Riyadh 13317 Saudi Arabia E-Mail: [email protected] [email protected]
SC
4 5
Using a transparent plastic cup over a nail clipper to facilitate nail sampling
Funding Sources: None
M AN U
1 2 3
Conflict of interest: None disclosed
22
Word count: 144
23
Tables: 0
24
Figures: 2
25
References: 0
26
Key words: cup, plastic, nail, clipper, sampling, onychomycosis, fungal culture
EP
AC C
27
TE D
21
1
ACCEPTED MANUSCRIPT
Challenge
29
Nail clipping is one of the diagnostic methods in dermatology. It is mainly used to take
30
nail samples for the diagnosis of onychomycosis. One potential problem is losing the
31
sample while cutting due to the strong force applied by the nail clipper. This problem
32
could be partially solved by placing the hand or a piece of gauze over the nail clipper.
33
However, that would usually obscure the view and not allow for accurate sampling.
RI PT
28
SC
34
Solution
36
To overcome this, a transparent plastic cup is used. The nail clipper is inserted into the
37
cup from the side (Fig. 1). The same can be done using the lower part of a plastic water
38
bottle. The digit is introduced into the cup through the open end (Fig. 2). When cutting
39
the nail, the cup will help in capturing the nail sample into the created cavity (Fig. 2).
AC C
EP
TE D
M AN U
35
2
ACCEPTED MANUSCRIPT
Acknowledgements
41
None
AC C
EP
TE D
M AN U
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40
3
ACCEPTED MANUSCRIPT
Figure legend
43 44
Figure 1. The nail clipper is inserted from the side into a transparent plastic cup (upper row) or part of a water bottle (lower row).
EP
46
AC C
45
TE D
M AN U
SC
RI PT
42
4
ACCEPTED MANUSCRIPT
Figure 2. Toe is introduced through the open end of the cup (left). After cutting, the nail sample was trapped in the created cavity (middle, right).
SC
RI PT
47 48
AC C
EP
TE D
M AN U
49
5