Ongles grésés et «twenty-nail dystrophy of childhood»

Abstract

2 apparently idiopathic cases of twenty-nail dystrophy of childhood are reported with follow-ups of 4 and 16 years, respectively. The associated koilonychia appears to be only fortuitous and related to the fragility of the nail. Trachyonychia should be considered as a symptom often related to external traumatism or dermatoses, particularly alopecia areata or lichen planus, of which it could be a specific isolated location. Within the spectrum of apparently idiopathic trachyonychies, the twenty-nail dystrophy of childhood appears to be a real entity on the basis of its clinical features and course.

Outcome of Nail Dystrophies in Children

“…To the Editors: Acquired nail dystrophies in the pediatric age group can be challenging because specific diagnoses are difficult to make in most cases. In addition, nonspecific dystrophies, especially those involving all 20 nails, can take many years to resolve and treatment is often unsuccessful (1)(2)(3)(4)(5)(6).…”