Congenital Malalignment of the Great Toenails with Secondary Retronychia: A Tale of Twin Toenails.

IF 0.9 Q4 DERMATOLOGY

Case Reports in Dermatology Pub Date : 2025-04-03 eCollection Date: 2025-01-01 DOI:10.1159/000545462

Carrie A Forman, Noelle Desir, Michael M Ong, Shari R Lipner

{"title":"Congenital Malalignment of the Great Toenails with Secondary Retronychia: A Tale of Twin Toenails.","authors":"Carrie A Forman, Noelle Desir, Michael M Ong, Shari R Lipner","doi":"10.1159/000545462","DOIUrl":null,"url":null,"abstract":"Introduction: Congenital malalignment of the great toenail (CMGT) is characterized by deviation of the nail plate due to rotation of the nail matrix. CMGT may be complicated by secondary retronychia.Case presentation: We report a case of twin 14-year-old females who presented with CMGT with secondary retronychia with no clear inciting event. Physical examination demonstrated lateral deviation of the great toenails with yellowed, thickened, and layered nail plates, consistent with a diagnosis of CMGT with secondary retronychia. The patients were advised to make relevant lifestyle changes and treated with clobetasol proprionate 0.05% ointment to use on all toenails daily for 3 months, with 1 week off per month, under occlusion.Conclusion: We hypothesize that both genetic and environmental factors likely contributed to the development of CMGT with secondary retronychia in these twins. Increased awareness and recognition of this underdiagnosed condition, particularly in the pediatric population, is important for timely and effective management.","PeriodicalId":9619,"journal":{"name":"Case Reports in Dermatology","volume":"17 1","pages":"157-164"},"PeriodicalIF":0.9000,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077864/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Dermatology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1159/000545462","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"DERMATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Congenital malalignment of the great toenail (CMGT) is characterized by deviation of the nail plate due to rotation of the nail matrix. CMGT may be complicated by secondary retronychia.

Case presentation: We report a case of twin 14-year-old females who presented with CMGT with secondary retronychia with no clear inciting event. Physical examination demonstrated lateral deviation of the great toenails with yellowed, thickened, and layered nail plates, consistent with a diagnosis of CMGT with secondary retronychia. The patients were advised to make relevant lifestyle changes and treated with clobetasol proprionate 0.05% ointment to use on all toenails daily for 3 months, with 1 week off per month, under occlusion.

Conclusion: We hypothesize that both genetic and environmental factors likely contributed to the development of CMGT with secondary retronychia in these twins. Increased awareness and recognition of this underdiagnosed condition, particularly in the pediatric population, is important for timely and effective management.

查看原文本刊更多论文

先天性大趾甲畸形伴继发性后甲：双趾甲的故事。

导语：先天性大趾甲畸形（CMGT）的特征是由于甲基质旋转导致甲板偏离。CMGT可并发继发性咽喉炎。病例介绍：我们报告一例双胞胎14岁的女性谁提出CMGT继发性后甲没有明确的刺激事件。体格检查显示大趾甲外侧偏曲，甲板变黄、变厚、分层，符合CMGT伴继发性甲后畸形的诊断。建议患者进行相应的生活方式改变，并给予0.05%本体氯倍他索软膏，每日涂于所有脚趾甲，连续3个月，每月休息1周。结论：我们假设遗传和环境因素都可能导致这些双胞胎CMGT伴继发性口后瘘的发展。提高对这种未被诊断的疾病的认识和认识，特别是在儿科人群中，对于及时有效的管理非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊