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Furthermore, cosmetic distress and nail\u2010related symptoms (<jats:italic>e.g<\/jats:italic>., tingling, stinging, numbness, and pain) are common factors that influence the patient's search for medical assistance. Nail pain (<jats:italic>i.e<\/jats:italic>., onychalgia) can accompany both localized and systemic pathology. Onychalgia can be acute or chronic according to the time of evolution; patients may describe it as intermittent or constant, and as a throbbing, burning, sharp, or shooting sensation denoting the nature of the pain. It may be exacerbated by colder temperatures,\u00a0touch,\u00a0and increased activity (<jats:italic>e.g<\/jats:italic>., manipulating objects, walking). We present four main groups of conditions that might cause nail pain: nail tumors, nail deformities, inflammatory or infectious diseases, and external or traumatic agents. Our article includes an overview of the clinical features, as well as diagnosis and management pearls for each entity. Physicians (dermatologists and nondermatologists) should be aware that abnormalities of the ungual and subungual space are not exclusive of dermatological disorders but may also be present in noncutaneous contexts.<\/jats:p>","DOI":"10.1111\/ijd.15496","type":"journal-article","created":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T12:20:57Z","timestamp":1615810857000},"page":"1318-1333","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Painful nails: A practical approach to the diagnosis and management of painful nail conditions"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8720-6030","authenticated-orcid":false,"given":"Valeria","family":"Olvera\u2010Rodri\u0301guez","sequence":"first","affiliation":[{"name":"Escuela de Medicina y Ciencias de la Salud Instituto Tecnolo\u0301gico y de Estudios Superiores de Monterrey Monterrey 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