Twenty-nail childhood dystrophy L60.3

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 17.06.2023

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Definition
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Trachyonychia idiopathica of all finger and toe nails occurring in children with a tendency to spontaneous regression with age. The entity is controversial.

Acquired forms associated with Langerhans cell histiocytosis have been described (Oyeleke BS et al. 2020).

Histology
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Spongiotic dermatitis of the nail matrix.

Therapy
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Literature
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  1. Brown-Falco O et al (1981) Trachyonychia: 20-nail dystrophy. Dermatologist 32: 17-22
  2. James V et al (2021) Twenty nail dystrophy in a child with Langerhans cell histiocytosis and tuberculosis. Sudan J Paediatr 21:200-204.
  3. Oyeleke BS et al (2020) Twenty-nail dystrophy / trachyonychia: a case report in a five year old girl seen at the Paediatric Out-patient Department of a Tertiary Hospital in Lafia North-Central Nigeria. Pan Afr Med J 36:380.

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Last updated on: 17.06.2023