Leuconychia in reflex sympathetic dystrophy: a chance association?

Nail Hypertrophy After Elective Surgery on the Little Finger: A Case Report

“…7 Leuconychia (white nails) and Beau's line (a transverse depression on the nail plate) have been reported to occurs several weeks after the onset of CRPS. 8,9 Data on CRPS in the pediatric population is limited. Unlike the adult population, about 90% of CRPS cases reported are females in a range of eight to 16 years, as is the described case, and the response to early treatment is generally favorable.…”

Clinical Presentation of Cutaneous Manifestations in Complex Regional Pain Syndrome (Type 1)

“…Hypohidrosis or hyperhidrosis is present on the skin, which becomes warm and red. Besides the increment in hair growth, nail growth accelerates or slows with an extremely curved growth pattern 6 . The second (dystrophic) stage occurs within 3 to 7 months following the initial injury and lasts for 3 to 6 months or longer.…”

“…Cutaneous findings observed in CRPS I may proceed from the acute stage, in which there is enhanced hair and nail growth, to the chronic phase, which is characterized by atrophy of the skin, muscles, and bones 4,6,8–11 …”

Unilateral trachyonychia in a patient with reflex sympathetic dystrophy

“…[3][4][5][6][7][8][9][10] Nail findings, such as leukonychia, Beau's lines, nailfold swelling, and clubbing, have been linked with RSD. [11][12][13][14] Trachyonychia refers to rough nails, often with longitudinal streaking, pitting, and ridging, which affect from 1 to 20 nail plates. 15 Affected nail plates are often brittle and can break with minimal trauma.…”