Trachyonychia: A comprehensive review

Katherine A. Gordon, Janelle M. Vega, Antonella Tosti

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Trachyonychia or rough nails, may present as an idiopathic disorder of the nails or it can be associated with other dermatological conditions. The dystrophic nail findings seen in trachyonychia are characterized by brittle, thin nails, with excessive longitudinal ridging. The most common histopathologic features associated with trachyonychia are spongiosis and exocytosis of inflammatory cells into the nail epithelia; typical features of lichen planus or psoriasis can also be detected. Determining the cause of trachyonychia is challenging. Treatment is often unsatisfactory, although in general it should be aimed at the underlying cause, if found. In most cases, the nail abnormalities improve spontaneously.

Original languageEnglish (US)
Pages (from-to)640-645
Number of pages6
JournalIndian Journal of Dermatology, Venereology and Leprology
Volume77
Issue number6
DOIs
StatePublished - Nov 1 2011

Keywords

  • Trachyonychia
  • rough nails
  • twenty nail dystrophy

ASJC Scopus subject areas

  • Dermatology
  • Infectious Diseases

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