Twenty-Nail Dystrophy of Childhood

Hazelrigg, Donald E.; Duncan, W. Christopher; Jarratt, Michael

doi:10.1001/archderm.1977.01640010075014

Cited by 69 publications

(36 citation statements)

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“…Trachyonychia follows an insidious disease course and is most common in the pediatric population [2]. In children, all twenty nails are usually affected and trachyonychia is more commonly idiopathic.…”

Section: Resultsmentioning

confidence: 99%

“…Alkiewicz [1] first used the term trachyonychia in 1950, but the condition was later identified as twenty-nail dystrophy by Hazelrigg et al [2 ]in 1977. However, the term twenty-nail dystrophy is misleading as in trachyonychia any number of nails can be affected and on the other hand widespread nail dystrophy is often incorrectly diagnosed as twenty-nail dystrophy even when the clinical signs of trachyonychia are not evident.…”

Section: Introductionmentioning

confidence: 99%

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Trachyonychia and Twenty-Nail Dystrophy: A Comprehensive Review and Discussion of Diagnostic Accuracy

Jacobsen

Tosti

2016

Skin Appendage Disord

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Background/Aims: The term trachyonychia, also known as twenty-nail dystrophy, is used to describe thin, brittle nails with excessive longitudinal ridging. The term twenty-nail dystrophy has been incorrectly applied to other conditions that can affect all twenty nails. Therefore, we have conducted a comprehensive review of the clinical features of trachyonychia and have included a discussion regarding the diagnostic accuracy of this condition in the literature. Methods: In November and December 2015, we conducted a thorough literature search using the following search terms: ‘trachyonychia', ‘twenty nail dystrophy', and ‘sandpaper nails'. Articles that reported the epidemiology, disease associations, clinical presentation, histopathology, and treatment options for trachyonychia were included. Particular attention was given to case reports to identify misdiagnosed cases of twenty-nail dystrophy. Results: Our preliminary search yielded 184 results with 72 unique articles ultimately selected for review. Excluded articles included 27 articles in languages other than English, 18 commentaries or reviews, and 67 irrelevant articles. Twelve additional articles described nail abnormalities clinically different from trachyonychia. Conclusion: Many other conditions can cause widespread nail dystrophy. The specific characteristics of trachyonychia need to be considered to make the diagnosis of twenty-nail dystrophy.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trachyonychia and Twenty-Nail Dystrophy: A Comprehensive Review and Discussion of Diagnostic Accuracy

Jacobsen

Tosti

2016

Skin Appendage Disord

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“…It is due to atrophy of the soft tissue. Twenty nail dystrophy (TND) is a condition in which all twenty nails are uniformly and simultaneously affected [23,24]. Earlier it was called as excessive ridging of childhood or Trachonychia [25].…”

Section: Discussionmentioning

confidence: 99%

A study of nail changes in various dermatosis in Punjab, India

Puri¹,

Kaur²

2012

Our Dermatol Online

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Nails act as a window to diagnosis of skin diseases. Various dermatosis affect the nails and the severity of the skin disorder is reflected in the nails. Nail changes are seen in various dermatosis like psoriasis, lichen planus, onychomycosis, collagen vascular disorders, vescicobullous disorders and other papulosquamous disorders. We will discuss in detail regarding nail changes in various dermatosis. StreszczeniePaznokcie są jak okno w diagnostyce chorób skóry. Różne dermatozy wpływają na paznokcie a ciężkość choroby skóry ma swoje odbicie na stanie paznokci. Zmiany w paznokciach widoczne są w różnych dermatozach takich jak łuszczyca, liszaj płaski, grzybica paznokci, kolagenowa choroba naczyń krwionośnych, zaburzenia pęcherzowe i inne zaburzenia grudkowo-złuszczające. Omówimy szczegółowo zmiany paznokci w różnych dermatozach.

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“…Trachyonychia was described as early as 1950 by Alkiewicz [1]. Hazelrigg et al [2] termed the acquired, idiopathic version of this clinical entity as twenty nail dystrophy (TND) in 1977 because it was initially described as uniformly affecting all twenty nails and toenails. However, later reports describe cases of characteristic nail changes occurring in some nails and not others or in different degrees of severity in all twenty nails.…”

Section: Introductionmentioning

confidence: 99%

Trachyonychia: Review and Update on Clinical Aspects, Histology, and Therapy

Haber

Chairatchaneeboon

Rubin³

2016

Skin Appendage Disord

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Trachyonychia is a disorder of the nail unit that most commonly presents with rough, longitudinally ridged nails (opaque trachyonychia) or less frequently, uniform, opalescent nails with pits (shiny trachyonychia). The term trachyonychia refers to ‘rough nails.' This article comprehensively reviews the clinical, histologic, and therapeutic aspects of trachyonychia. The authors' preferred evaluation and management strategies of trachyonychia are included.

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Twenty-Nail Dystrophy of Childhood

Cited by 69 publications

References 1 publication

Trachyonychia and Twenty-Nail Dystrophy: A Comprehensive Review and Discussion of Diagnostic Accuracy

Trachyonychia and Twenty-Nail Dystrophy: A Comprehensive Review and Discussion of Diagnostic Accuracy

A study of nail changes in various dermatosis in Punjab, India

Trachyonychia: Review and Update on Clinical Aspects, Histology, and Therapy

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