A Case of Idiopathic Twenty-Nail Dystrophy

    September 2024 in “ Cureus ”
    Radha Kumar, Ashikabanu Mujibur Rahman, N. Umapathy, Shami Kumar, Vaanmathi Azhagar Nambi Santhi
    TLDR A 10-year-old boy's nail condition is mainly cosmetic and improves over time with treatment.
    This case report discusses a 10-year-old boy with a six-year history of idiopathic twenty-nail dystrophy, a condition affecting all twenty nails with rough, linear ridges, commonly seen in childhood and more prevalent in males. The boy had no significant family history of skin or nail diseases and exhibited alopecia areata as the only other symptom. The condition is primarily a cosmetic concern and is self-limiting, managed through symptomatic treatment. The report emphasizes the importance of physical examination for early diagnosis and management of nail disorders.
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