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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7992721PMC
http://dx.doi.org/10.5021/ad.2019.31.3.359DOI Listing

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Introduction: Developmental dysplasia of the hip (DDH) describes a spectrum of disorders affecting the neonatal hip. Trachyonychia or twenty nail dystrophy refers to thin, brittle nails with excessive longitudinal ridging affecting all twenty nails. Alopecia universalis congenita (ALUNC) is a rare anomaly affecting skin and appendages.

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A Case of Idiopathic Twenty-Nail Dystrophy.

Cureus

September 2024

Paediatrics, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

In children, nail diseases can be either congenital or acquired, with an occurrence rate of 3 to 11% in the pediatric population. In both fingers and toes, rough, accentuated linear ridges of the nails are referred to as trachyonychia. This condition most commonly occurs in childhood, with a higher prevalence in males.

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Article Synopsis
  • Trachyonychia is a rare nail condition marked by weak, excessively long, ridged nails that lack shine; it often occurs with conditions like twenty-nail dystrophy.
  • A case study reports a young male with trachyonychia accompanying various forms of lichen planus, emphasizing the importance of dermoscopy and histopathology for diagnosis.
  • Accurate diagnosis of nail dystrophies linked to other disorders is essential for effective treatment, as early intervention can enhance patient outcomes and reduce psychological distress.
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