A Case of Twenty Nail Dystrophy Affecting a 12-Year-Old Boy

The document discusses a case of twenty nail dystrophy, a nail disorder characterized by changes in all twenty nails, in a 12-year-old boy with no family history of skin or nail diseases. This condition, also known as trachyonychia, can be associated with various dermatologic conditions, but in this case, the boy had isolated nail manifestations. Twenty nail dystrophy, which can be cosmetically disfiguring and cause anxiety, is a self-limiting disease that is typically treated conservatively. The report emphasizes the importance of early diagnosis through thorough physical examination, distinguishing between different nail conditions and associated illnesses, and counseling families about the benign nature and good prognosis of the disease.