Idiopathic acquired true total and subtotal leukonychia: report of two cases

Idiopathic acquired true leukonychia totalis

“…[ 7 ] Less than ten such cases of acquired total leuchonychia have been reported in the English literature. [ 4 8 9 ] The rarity of such an entity prompted the present report.…”

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

“…Ten cases have previously been reported, making this the 11th case [3,4,25,26,27,28,29,30]. Surprisingly, all reported cases have been young men or boys (table 2).…”

“…True leukonychia results from abnormal keratinization of the distal matrix that causes parakeratosis in the ventral nail plate, and this produces porcelain white nails [3,4]. Retained keratohyalin granules in the nail plate cells reflect light and prevent the visualization of the underlying vascular nail bed.…”

“…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]. …”

Idiopathic Acquired True Leuconychia Totalis and Partialis: A Rare Case Report

“…To our knowledge, only ten cases of idiopathic, acquired, true total leuconychia are reported till date in literature [4,5] amongst them there was only one Indian patient [4]. We are hereby reporting the second Indian patient with idiopathic, white fingernails and toenails without any hereditary cause.…”