{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T16:58:23Z","timestamp":1780937903917,"version":"3.54.1"},"reference-count":24,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dermatology"],"abstract":"<jats:p>&lt;p&gt;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. Methods: A retrospective review was conducted of all NRVs to the dermatology outpatient clinic at Sheba Medical Center between January 1, 2014, and February 29, 2024. Results: A 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 (\u00b12.1). 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 &lt; 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. Conclusions: NRVs 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. &lt;\/p&gt;<\/jats:p>","DOI":"10.1159\/000550947","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T17:00:51Z","timestamp":1770915651000},"page":"319-328","source":"Crossref","is-referenced-by-count":0,"title":["Epidemiology and Trends of Nail Disorders (2014\u20132024): A Single Tertiary-Center Study"],"prefix":"10.1159","volume":"242","author":[{"given":"Eran","family":"Galili","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Kalendaryov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avner","family":"Shemer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aviv","family":"Barzilai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Snast","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4899-7140","authenticated-orcid":false,"given":"Anna","family":"Lyakhovitsky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Baum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000921"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2013.06.014"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2016.11.053"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2010.09831.x"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12827"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000452673"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1111\/cod.14683"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2165\/11537110-000000000-00000"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.13223"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1177\/1203475417716362"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2024.04.080"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2020.12.013"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2006.01925.x"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12323"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.18570"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.149.s65.4.x"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1159\/000485632"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.7547\/21-208"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.14659"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1159\/000543535"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.2165\/11592120-000000000-00000"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15542"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1111\/cod.14441"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2010.07.008"}],"container-title":["Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/article-pdf\/doi\/10.1159\/000550947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T16:04:28Z","timestamp":1780934668000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000550947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,12]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,6,8]]},"published-print":{"date-parts":[[2026,6,10]]}},"URL":"https:\/\/doi.org\/10.1159\/000550947","archive":["Portico"],"relation":{},"ISSN":["1018-8665","1421-9832"],"issn-type":[{"value":"1018-8665","type":"print"},{"value":"1421-9832","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,12]]}}}