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June 1981

Twenty-Nail Dystrophy and Ichthyosis Vulgaris

Author Affiliations

USA; USA; USA San Francisco

Arch Dermatol. 1981;117(6):316. doi:10.1001/archderm.1981.01650060004004

To the Editor.—  Two of us (R.T.H. and R.B.O.) described a patient with 20-nail dystrophy secondary to alopecia areata in the Archives (1980;116:573-574). Since examining that child, we have seen another boy with dystrophy of all nails associated with ichthyosis vulgaris.

Report of a Case.—  A 13-year-old boy with ichthyosis vulgaris was noted to have onychodystrophy of all 20 nails. Nail changes had been noted in the patient's chart as early as 1971, when he was 5 years old. The mother stated this had begun at the age of 1½ years and had been present since that time without change. History disclosed a diagnosis of "allergies and infantile eczema" at 4 months of age. No other reference to possible atopic dermatitis was made in the record. At one year, ichthyosis vulgaris was present. Typical scaling skin was seen over the body. Treatment of this condition with lubricants had controlled it

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