Idiopathic Acquired True Leukonychia Totalis and Partialis

A case of idiopathic acquired leukonychia totalis in a 17‐year‐old boy

“…To date, there have been just 13 case reports of idiopathic acquired true leukonychia totalis, as seen in our patient. [1][2][3][4][5][6][7][8][9][10][11][12] F I G U R E 1 Physical examination of the fingernails revealed porcelain-white color alteration of the nail plate with occasional bands of normal plate interspersed. The left fifth fingernail and all toenails were spared.…”

“…Idiopathic acquired leukonychia totalis, a form of true leukonychia affecting the entire plate, has been reported just 13 times to date. All cases have occurred in young boys and most have progressed from partial to total plate involvement, with spread to additional nails over time 1‐12 …”

An Idiopathic Leukonychia Totalis and Leukonychia Partialis Case Report and Review of the Literature

“…Patients came from varied ethnic backgrounds. In addition to fingernail involvement, several patients also had affected toenails, and 1 patient only had toenail involvement [3,4,26,27,31]. …”

Terry's nails: A sign of systemic disease

“…[ 14 ] On initial inspection, true leukonychia may mimic Terry's nails; however, true leukonychia involves the nail plate rather than the nail bed. [ 15 16 ] Therefore, unlike Terry's nails, which retain the proximal nail discoloration as the nails grow outward, a true leukonychia will grow out with the nail. [ 15 ] Neapolitan nails, or white nails associated with old age, may also Wresemble half-and-half nails.…”