Trachyonychia is a condition characterized by rough accentuated linear ridges (longitudinal striations) on the nails of the fingers and toes.[3] When the condition occurs on all the twenty nails of the fingers and toes, it is known as twenty-nail dystrophy, most evident in childhood,[4] favoring males.[2][5]
| Trachonychia | |
|---|---|
| Other names | Sandpapered nails,[1][2] Twenty nail dystrophy |
 | |
| Specialty | Dermatology  |
| Causes | Lichen planus |
Trachyonychia causes the nails to become opalescent, thin, dull, fragile, and finely longitudinally ridged, and, as a result, distally notched.[6] It can be a manifestation of lichen planus, psoriasis, alopecia areata, immunoglobulin A deficiency, atopic dermatitis, and ichthyosis vulgaris.[7]
"The longitudinal striations can occur as a normal part of the aging process",[2] and not until the nails start to thin and get a sandpaper look is the condition called trachonychia. The nails are opalescent and frequently are brittle and split at the free margin. There has been evidence of the condition as a cutaneous manifestation of lichen planus. It has also been associated with other diseases such as eczema, psoriasis, alopecia areata, and atopic dermatitis.[2] Trachonychia is often seen in vitiligo patients – suggesting that they are more susceptible to this condition.[2]
References
edit- ^ Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
- ^ a b c d e Fawcett, Ronald S.; Hart, Thomas M.; Linford, Sean;Stulberg, Daniel L. (2004)."Nail Abnormalities: Clues to Systemic Disease". American Family Physician 69(6): 1417-1424
- ^ Freedberg, et al. (2003). Fitzpatrick's Dermatology in General Medicine. (6th ed.). McGraw-Hill. ISBN 0-07-138076-0.
- ^ "Twenty-nail dystrophy | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program". rarediseases.info.nih.gov. Retrieved 2018-04-17.
- ^ Scheinfeld NS (April 2003). "Trachyonychia: a case report and review of manifestations, associations, and treatments". Cutis. 71 (4): 299–302. PMID 12729094.
- ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0-7216-2921-0.
- ^ Scheinfeld NS (April 2003). "Trachyonychia: a case report and review of manifestations, associations, and treatments". Cutis. 71 (4): 299–302. PMID 12729094.