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January 1980

Dystrophy of the Great Toenail

Author Affiliations

Danville, Pa

Arch Dermatol. 1980;116(1):19-20. doi:10.1001/archderm.1980.01640250021005

To the Editor.— Report of a Case.—  An 11-month-old girl was seen at the dermatology clinic of the Geisinger Medical Center, Danville, Pa, on Oct 31, 1977, with a congenital deformity of the right great toenail. There was no family history of a similar condition and no history of trauma to the toe or nail.Physical examination indicated a thickened, dystrophic nail plate with prominent transverse ridging (Figure). There was gradual tapering of the distal nail plate as well as minimal distal onycholysis. No subungual debris was noted. The nail was somewhat shorter than the normal great toenail of the left foot. Roentgenograms of the great toe and related bony parts of the front of the foot were within normal limits.The patient was seen again at age 17 months. The nail had grown minimally at this time. The posterior nail-fold area was injected with triamcinolone hexacetonide (5 mg/mL). One

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