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Onychauxis. Presented by Dr. Lester Hollander and Dr. J. W. Fisher.
L. G., American woman aged 23, presents an involvement of every nail of the hands and feet. The nail plates have lost their translucence; they are opaque, and there are areas where dark brown discoloration is present. All the lunulae are gone. The nails are raised convexly, causing the margins to have a curved appearance. This condition is of two years' duration. The patient has secondary syphilis of three months' duration.Although onychosis and onychogryposis have been described by Sutton in syphilis, we do not believe that syphilis is responsible in this case and tend to the opinion that the condition of the nails is a manifestation of dyspituitarism.
Dr. W. H. Guy: My associates and I have a similar case under our observation at the present time, and we found the patient to have a hypothyroid condition.
Goldmann BA, Amshel F. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1934;30(3):452–459. doi:10.1001/archderm.1934.01460150118014
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