Severe Onycholysis in a Card Illusionist with Alopecia Areata Universalis

    January 2013 in “ International Journal of Trichology ”
    Michela Venturi, Antonellá Tosti, Antonellá Tosti, Nilton Di Chiacchio
    TLDR Systemic steroids effectively treated severe nail issues in a card illusionist with alopecia areata.
    A 23-year-old card illusionist with alopecia areata universalis developed severe onycholysis, which significantly impacted his ability to work. Treatment with systemic steroids (triamcinolone acetonide) for 3 months led to rapid improvement and complete normalization of his nails within 6 months, although mild recurrence was noted after 1 year. Nail abnormalities in alopecia areata are common but usually not severe, and systemic steroids proved effective in this severe case.
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