Trachyonychia idiopathica L60.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 22.01.2023

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Synonym(s)

idiopathic trachyonychia; twenty-nail dystrophy

History
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Alkiewicz, 1950

Definition
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Trachyonychia without an identifiable underlying disease. If all nails are affected, this clinical picture is called twenty-nail dystrophy.

Clinical features
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Roughened, white to yellowish changed nail plate with slate-like, coarse lamellar peeling of the nail keratin, so that an irregular, partly thickened, partly diluted surface structure results. Often combined with linear longitudinal nail dystrophies.

Therapy
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Causal therapies are not known. Treatment successes are unsatisfactory.

Literature
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  1. Alkiewicz J (1950) Trachyonychia. Ann Dermatol Venereol 10: 136-140
  2. Grover C et al (2003) Longitudinal nail biopsy: utility in 20-nail dystrophy. Dermatol Surg 29: 1125-1129

Outgoing links (1)

Twenty-nail dystrophy;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 22.01.2023