Great toe dystrophyL60.8

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 18.12.2020

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Synonym(s)

Big toe nail dystrophy of childhood; Big toe nail misalignment; Congenital big toe nail dystrophy; Congenital big toe nail misalignment; Congenital malalignment of the big toe nail; Great toe nail dystrophy

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HistoryThis section has been translated automatically.

Samman, 1978

DefinitionThis section has been translated automatically.

Congenital or early acquired lateral deviation of one or both big toe nails of unknown cause. Familial occurrence is described (Wagner G 2001). In rare cases the deviation of the nails becomes visible only during or after puberty. Incidence is not known.

Occurrence/EpidemiologyThis section has been translated automatically.

f>m;

Clinical featuresThis section has been translated automatically.

Greyish-yellow discoloured nail plate of the big toe, increasingly curved in the longitudinal and transverse axis, shortened, adherent only in the proximal third of the nail bed, hardly growing. Characteristic are oyster shell-like transverse grooves of the nail plate.

TherapyThis section has been translated automatically.

Symptomatic, nail care. Treatment attempt with onycholytic paste (40% urea paste R109 ).

Progression/forecastThis section has been translated automatically.

In about half of the patients the symptoms improve by puberty.

In cases of severe lateral deviation of nail growth and the resulting pressure-related pain symptomatology, surgical correction is recommended at an early stage (Hamm H et al. 2018).

LiteratureThis section has been translated automatically.

  1. Hamm H et al (2018) Diseases of the nails. In: Braun-Falco`s Dermatology, Venereology Allergology G. Plewig et al. (eds) Springer Verlag p 1404.
  2. Samman PD (1978) Great toe nail dytrophy. Clin Exp Dermatol 3: 81-82
  3. Wagner G et al (2012) Congenital great toe nail dystrophy. J Dtsch Dermatol 10: 326-330

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Last updated on: 18.12.2020