Idiopathic Acquired Leukonychia Totalis of the Fingernails in a Child Treated Successfully with Zinc and Amino Acid Supplementation

A case of idiopathic acquired leukonychia totalis in a 17‐year‐old boy

“…To date, there have been just 13 case reports of idiopathic acquired true leukonychia totalis, as seen in our patient. [1][2][3][4][5][6][7][8][9][10][11][12] F I G U R E 1 Physical examination of the fingernails revealed porcelain-white color alteration of the nail plate with occasional bands of normal plate interspersed. The left fifth fingernail and all toenails were spared.…”

“…Idiopathic acquired leukonychia totalis represents a rare disorder that lacks any known environmental, pathologic or genetic associations but can be concerning to patients and families. To date, there have been just 13 case reports of idiopathic acquired true leukonychia totalis, as seen in our patient 1‐12 . Table 2 is adapted from a review of the literature published by Canavan et al in 2015 to include all known cases to date 4 .…”

“…To date, there have been just 13 case reports of idiopathic acquired true leukonychia totalis, as seen in our patient. [1][2][3][4][5][6][7][8][9][10][11][12] to include all known cases to date. 4 Age of onset of all reported cases, including our patient, has ranged from birth to 24 years with a mean age of 12.1 years.…”

“…All cases have occurred in young boys and most have progressed from partial to total plate involvement, with spread to additional nails over time. [1][2][3][4][5][6][7][8][9][10][11][12]…”

“…Idiopathic acquired leukonychia totalis, a form of true leukonychia affecting the entire plate, has been reported just 13 times to date. All cases have occurred in young boys and most have progressed from partial to total plate involvement, with spread to additional nails over time 1‐12 …”