BackgroundVitiligo is an acquired pigmentary skin disorder affecting 0.1-4% of the
general population. The nails may be affected in patients with an autoimmune
disease such as psoriasis, and in those with alopecia areata. It has been
suggested that nail abnormalities should be apparent in vitiligo
patients.ObjectiveWe sought to document the frequency and clinical presentation of nail
abnormalities in vitiligo patients compared to healthy volunteers. We also
examined the correlations between nail abnormalities and various clinical
parameters.MethodsThis study included 100 vitiligo patients and 100 healthy subjects. Full
medical histories were collected from the subjects, who underwent thorough
general and nail examinations. All nail changes were noted. In the event of
clinical suspicion of a fungal infection, additional mycological
investigations were performed.ResultsNail abnormalities were more prevalent in the patients (78%) than in the
controls (55%) (p=0.001). Longitudinal ridging was the most common finding
(42%), followed by (in descending order): leukonychia, an absent lunula,
onycholysis, nail bed pallor, onychomycosis, splinter hemorrhage and nail
plate thinning. The frequency of longitudinal ridging was significantly
higher in patients than in controls (p<0.001).ConclusionsNail abnormalities were more prevalent in vitiligo patients than in controls.
Systematic examination of the nails in such patients is useful because nail
abnormalities are frequent. However, the causes of such abnormalities
require further study. Longitudinal ridging and leukonychia were the most
common abnormalities observed in this study.