[Skip to Navigation]
May 1977

Pachyonychia Congenita With Cardiac Involvement

Author Affiliations

Madras, India

Arch Dermatol. 1977;113(5):687. doi:10.1001/archderm.1977.01640050147035

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor.—  A case of pachyonychia congenita with cardiac involvement has been recorded and reported. A 9-year-old girl had all the characteristic features of pachyonychia congenita. In addition, there was clinical and roentgenographic evidence of cardiomegaly, with abnormal ECG and angiographic studies. She also had a pigmented nevus in the left iris, spinabifida occulta L5, rudimentary 12th rib, sparse kinky hair over the scalp, and carious teeth.

Report of a case.—  A 9-year-old girl born to consanguinous parents was brought to the Dermatology Department on Aug 18, 1974.When her history was taken, it was noted that approximately three months after birth blisters in frictional areas started to develop. At the age of 7 months, horny follicular lesions mostly over the extremities developed. Nail dystrophy in the form of thickening and lifting up of the nail plates started at the age of 1 year. When the child started walking,

First Page Preview View Large
First page PDF preview
First page PDF preview
Add or change institution