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Dystrophic fingernails

MedGen UID:
764340
Concept ID:
C3551426
Finding
Synonym: Poor fingernail formation
 
HPO: HP:0008391

Definition

The presence of misshapen or partially destroyed nail plates, often with accumulation of soft, yellow keratin between the dystrophic nail plate and nail bed, resulting in elevation of the nail plate. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDystrophic fingernails

Conditions with this feature

Odonto-onycho-dermal dysplasia
MedGen UID:
208666
Concept ID:
C0796093
Disease or Syndrome
Odontoonychodermal dysplasia (OODD) is an autosomal recessive disorder characterized by dry hair, severe hypodontia, smooth tongue with marked reduction of fungiform and filiform papillae, onychodysplasia, hyperkeratosis of the palms and soles, hypo- and hyperhidrosis of the skin, and atrophic patches on the face (summary by Adaimy et al., 2007; Yu et al., 2019).
Primrose syndrome
MedGen UID:
162911
Concept ID:
C0796121
Disease or Syndrome
Primrose syndrome is characterized by macrocephaly, hypotonia, developmental delay, intellectual disability with expressive speech delay, behavioral issues, a recognizable facial phenotype, radiographic features, and altered glucose metabolism. Additional features seen in adults: sparse body hair, distal muscle wasting, and contractures. Characteristic craniofacial features include brachycephaly, high anterior hairline, deeply set eyes, ptosis, downslanted palpebral fissures, high palate with torus palatinus, broad jaw, and large ears with small or absent lobes. Radiographic features include calcification of the external ear cartilage, multiple Wormian bones, platybasia, bathrocephaly, slender bones with exaggerated metaphyseal flaring, mild epiphyseal dysplasia, and spondylar dysplasia. Additional features include hearing impairment, ocular anomalies, cryptorchidism, and nonspecific findings on brain MRI.
Tooth agenesis, selective, 4
MedGen UID:
372057
Concept ID:
C1835492
Disease or Syndrome
Any tooth agenesis in which the cause of the disease is a mutation in the WNT10A gene.
Epidermolysis bullosa simplex due to plakophilin deficiency
MedGen UID:
388032
Concept ID:
C1858302
Disease or Syndrome
Ectodermal dysplasia/skin fragility syndrome (EDSFS) is an autosomal recessive genodermatosis characterized by widespread skin fragility, alopecia, nail dystrophy, and focal keratoderma with painful fissures. Hypohidrosis and cheilitis are sometimes present (summary by Ersoy-Evans et al., 2006).
Epidermolysis bullosa, junctional 4, intermediate
MedGen UID:
382015
Concept ID:
C2608084
Disease or Syndrome
Ectodermal dysplasia 8, hair/tooth/nail type
MedGen UID:
764338
Concept ID:
C3551424
Disease or Syndrome
Some ectodermal dysplasias are here classified as congenital disorders characterized by abnormal development in 2 or more ectodermal structures (hair, nails, teeth, and sweat glands) without other systemic findings. Ectodermal dysplasia-8 is an autosomal recessive disorder characterized by abnormal development of hair, teeth, and nails.
Ectodermal dysplasia 5, hair/nail type
MedGen UID:
767022
Concept ID:
C3554108
Disease or Syndrome
Some ectodermal dysplasias are here classified as congenital disorders characterized by abnormal development in 2 or more ectodermal structures (hair, nails, teeth, and sweat glands) without other systemic findings. Ectodermal dysplasia of the hair/nail type is a rare congenital condition characterized by hypotrichosis and nail dystrophy without nonectodermal or other ectodermal manifestations.
Ectodermal dysplasia 7, hair/nail type
MedGen UID:
767031
Concept ID:
C3554117
Disease or Syndrome
Some ectodermal dysplasias are here classified as congenital disorders characterized by abnormal development in 2 or more ectodermal structures (hair, nails, teeth, and sweat glands) without other systemic findings. Ectodermal dysplasia of the hair/nail type is a rare congenital condition characterized by hypotrichosis and nail dystrophy without nonectodermal or other ectodermal manifestations.
Keratosis follicularis spinulosa decalvans, X-linked
MedGen UID:
854384
Concept ID:
C3887525
Congenital Abnormality
Keratosis follicularis spinulosa decalvans is an uncommon genodermatosis chiefly characterized by widespread keratosis pilaris, progressive cicatricial alopecia of the scalp, eyebrows, and eyelashes, and an excess of affected males. Photophobia, blepharitis/conjunctivitis, and corneal dystrophy are characteristic ancillary findings. It is most often inherited as an X-linked trait (summary by Castori et al., 2009). Autosomal dominant inheritance has also been reported (KFSD; 612843). The term 'cum ophiasi' means 'with ophiasis,' i.e., baldness in 1 or more winding streaks about the head, which comes from the Greek for snake. Decalvans refers to the loss of hair.
IFAP syndrome 1, with or without BRESHECK syndrome
MedGen UID:
1746744
Concept ID:
C5399971
Disease or Syndrome
The IFAP/BRESHECK syndrome is an X-linked multiple congenital anomaly disorder with variable severity. The classic triad, which defines IFAP, is ichthyosis follicularis, atrichia, and photophobia. Some patients have additional features, including mental retardation, brain anomalies, Hirschsprung disease, corneal opacifications, kidney dysplasia, cryptorchidism, cleft palate, and skeletal malformations, particularly of the vertebrae, which constitutes BRESHECK syndrome (summary by Naiki et al., 2012). Genetic Heterogeneity of IFAP Syndrome IFAP syndrome-2 (IFAP2; 619016) is caused by heterozygous mutation in the SREBF1 gene (184756) on chromosome 17p11.

Professional guidelines

PubMed

Starace M, Rubin AI, Di Chiacchio NG, Pampaloni F, Alessandrini A, Piraccini BM, Iorizzo M
J Dtsch Dermatol Ges 2023 Feb;21(2):116-129. doi: 10.1111/ddg.14942. PMID: 36808456
Khan MT, O'Sullivan M, Faitli B, Mellerio JE, Fawkes R, Wood M, Hubbard LD, Harris AG, Iacobaccio L, Vlahovic T, James L, Brains L, Fitzpatrick M, Mayre-Chilton K
Br J Dermatol 2020 Mar;182(3):593-604. Epub 2019 Oct 23 doi: 10.1111/bjd.18381. PMID: 31397882Free PMC Article
Zane LT, Chanda S, Coronado D, Del Rosso J
Dermatol Online J 2016 Mar 16;22(3) PMID: 27136621

Recent clinical studies

Etiology

Shemer A, Daniel R, Lyakhovitsky A, Aghion-Svirsky V, Kassem R, Rigopoulos D, Farhi R, Galili E
Mycoses 2020 Sep;63(9):964-969. Epub 2020 Jul 4 doi: 10.1111/myc.13133. PMID: 32563206
Last O, Reckhow J, Bogen B, Rozenblat M
BMJ Case Rep 2018 Dec 3;11(1) doi: 10.1136/bcr-2018-225623. PMID: 30567157Free PMC Article
Traussnigg S, Dolak W, Trauner M, Kazemi-Shirazi L
BMJ Case Rep 2016 Jan 27;2016 doi: 10.1136/bcr-2015-213465. PMID: 26818813Free PMC Article
Swensson O, Christophers E
Arch Dermatol 1998 Feb;134(2):199-203. doi: 10.1001/archderm.134.2.199. PMID: 9487212

Diagnosis

Shemer A, Daniel R, Lyakhovitsky A, Aghion-Svirsky V, Kassem R, Rigopoulos D, Farhi R, Galili E
Mycoses 2020 Sep;63(9):964-969. Epub 2020 Jul 4 doi: 10.1111/myc.13133. PMID: 32563206
Last O, Reckhow J, Bogen B, Rozenblat M
BMJ Case Rep 2018 Dec 3;11(1) doi: 10.1136/bcr-2018-225623. PMID: 30567157Free PMC Article
Gupta A, Farokhi M, Shah S, McGarry T, Warshawsky M, Epelbaum O
Chest 2016 May;149(5):e147-50. doi: 10.1016/j.chest.2015.12.023. PMID: 27157230
Traussnigg S, Dolak W, Trauner M, Kazemi-Shirazi L
BMJ Case Rep 2016 Jan 27;2016 doi: 10.1136/bcr-2015-213465. PMID: 26818813Free PMC Article
Rizzo C, Anandasabapathy N, Walters RF, Rosenman K, Kamino H, Prystowsky S, Schaffer JV
Dermatol Online J 2008 Oct 15;14(10):26. PMID: 19061625

Therapy

Shemer A, Daniel R, Lyakhovitsky A, Aghion-Svirsky V, Kassem R, Rigopoulos D, Farhi R, Galili E
Mycoses 2020 Sep;63(9):964-969. Epub 2020 Jul 4 doi: 10.1111/myc.13133. PMID: 32563206
Last O, Reckhow J, Bogen B, Rozenblat M
BMJ Case Rep 2018 Dec 3;11(1) doi: 10.1136/bcr-2018-225623. PMID: 30567157Free PMC Article
de Jong EM, Menke HE, van Praag MC, van De Kerkhof PC
Dermatology 1999;199(4):313-8. doi: 10.1159/000018281. PMID: 10640840

Prognosis

Shemer A, Daniel R, Lyakhovitsky A, Aghion-Svirsky V, Kassem R, Rigopoulos D, Farhi R, Galili E
Mycoses 2020 Sep;63(9):964-969. Epub 2020 Jul 4 doi: 10.1111/myc.13133. PMID: 32563206

Clinical prediction guides

Ujihara M, Kamakura T, Ikeda M, Kodama H
Br J Dermatol 2002 Sep;147(3):568-71. doi: 10.1046/j.1365-2133.2002.04819.x. PMID: 12207603
de Jong EM, Menke HE, van Praag MC, van De Kerkhof PC
Dermatology 1999;199(4):313-8. doi: 10.1159/000018281. PMID: 10640840
Swensson O, Christophers E
Arch Dermatol 1998 Feb;134(2):199-203. doi: 10.1001/archderm.134.2.199. PMID: 9487212

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