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Anonychia Congenita Totalis

Isolated Anonychia


Presentation

  • Prepare for the USMLE Step 1 with clinical case presentations, highlighted in special boxes, that demonstrate how embryology concepts relate to clinical practice.[books.google.ro]
  • Tips of digits were soft, with absence of nail folds, but small keratinised nail plates were present in middle toes bilaterally ( figure 2 ). Skin, teeth and hair were normal.[casereports.bmj.com]
  • A 35-year-old man with mental retardation presented with a history of absence of all nails since birth. There was also a history of epileptic fits since early childhood. Last modified: 2014-09-22 02:06:36[paper.researchbib.com]
  • Isolated, nonsyndromic anonychia may present either as an autosomal dominant form that affects only the thumbs or in its severe, autosomal recessively inherited variant, with involvement of all digits and toes.[ijhas.in]
Asymptomatic
  • Our patient had congenital anonychia as an isolated and asymptomatic condition which did not affect his day-to-day activities or cause any inconvenience. He was reassured, and prosthetic acrylic nails were provided for cosmesis.[casereports.bmj.com]
  • She was otherwise asymptomatic and systemic examination did not reveal any abnormality. On further questioning, parents mentioned that she had this anomaly since birth. She was born of a consanguineous marriage and was the eldest among two siblings.[ijhas.in]
  • This condition may occur in healthy individuals who manifest asymptomatic anemia, leukopenia, or thrombocytopenia; however, there is also an association between the Tn antigen and leukemia or myelodysplastic disorders.[mendelian.co]
  • These iliac horns may be asymptomatic. [7] , [14] The elbow joint abnormalities include hypoplasia and subluxation of the radial heads and hypoplasia of the distal end of the humerus. [7] , [13] , [14] This results in limitations of extension, pronation[jpgmonline.com]
  • The condition is asymptomatic and self-limiting and should be suspected when a child presents lichen planus-like abnormalities in a single nail. Local steroids are suggested as treatment. Fig. 15.[karger.com]
Flatulence
  • […] phase R13.14 Dysphagia, pharyngoesophageal phase R13.19 Other dysphagia Includes: Cervical dysphagia Neurogenic dysphagia R14.0 Abdominal distension (gaseous) Includes: Bloating Tympanites (abdominal) (intestinal) R14.1 Gas pain R14.2 Eructation R14.3 Flatulence[app.drchrono.com]
Abnormal Teeth
  • We report here a 60-year-old woman with low back pain and tenderness at the lumbosacral spine who was found to have complete absence of all nails, abnormal teeth, dry skin and left ectropion.[jpmi.org.pk]
Low Back Pain
  • We report here a 60-year-old woman with low back pain and tenderness at the lumbosacral spine who was found to have complete absence of all nails, abnormal teeth, dry skin and left ectropion.[jpmi.org.pk]
Back Pain
  • We report here a 60-year-old woman with low back pain and tenderness at the lumbosacral spine who was found to have complete absence of all nails, abnormal teeth, dry skin and left ectropion.[jpmi.org.pk]
Generalized Seizure
  • seizure 【全身性リウマチ】*systemic rheumatism 【全身痛】*pantalgia 【全身性不全麻痺】*general paresis 【全身麻痺】*general paralysis 【全耳炎】*panotitis 【全脊椎裂】*rachischisis totalis[L] 【全脳炎】*panencephalitis ( 汎脳炎) (喘) 【喘息】*asthma 【喘息性気管支炎】*asthmatic bronchitis (略 *AB) 【喘ぎ呼吸】*gasping[medo.jp]
Neonatal Seizures
  • seizures Benign familial neonatal-infantile seizures Benign focal amyotrophy Benign joint hypermobility syndrome Benign neonatal-infantile epilepsy Benign paroxysmal peritonitis Benign paroxysmal torticollis of infancy Benign recurrent intrahepatic cholestasis[csbg.cnb.csic.es]

Workup

Granulomatous Tissue
  • It is usually associated with cutaneous blisters or erosions and periungual and subungual granulomatous tissue. Other possible signs may include: Nail atrophy. Nail thinning. Onychogriphosis. Onychomadesis. Pachyonychia. Pincer nails.[medigoo.com]

Treatment

  • Stay at the forefront of your field with updated treatment methods throughout, as well as an increased focus on patients with skin of color.[books.google.de]
  • […] photographs of normal and abnormal skin conditions including images of rare conditions, this easily accessible resource is essential for pediatricians, neonatologists, and dermatologists as well as other healthcare professionals involved in the diagnosis and treatment[books.google.ro]

Prognosis

  • To date, only 20 cases have been described in world literature. [5] Hence, it is very important for the dermatologist to know about anonychia and counsel the parents regarding the prognosis of this rare entity. References 1. Irvine AD, Mellerio JE.[ijpd.in]
  • Reply: Most of the genetic nephropathies with end-stage renal disease have a poor prognosis.[jpgmonline.com]
  • Nail biopsy is not recommended for diagnosis, due to the benignity of the disease and a good prognosis. TND can affect one nail or all nails (Fig. 14 ).[karger.com]

Etiology

  • Although various hypotheses have been put forward to explain the pathophysiology of the syndrome, its etiology remains unknown.[actasdermo.org]
  • The etiology of micronychia is not clear but amniotic bands, teratogens (drugs, alcohol), Nail Patella Syndrome etc. A 44-year-old woman with multiple isolated congenital micronychia over her hands and feet was selected.[advbiores.net]
  • The flat rectangular surface of the future nail bed on the dorsal tips is first demarcated by folds visible at 8-10 weeks of IUL. [4] Though the exact etiology of anonychia is not known, molecular genetics reveals microduplications on chromosome 17q24.3[ijpd.in]
  • Common etiologies for acquired anonychia including trauma, pemphigus, lichen planus, epidermolysis bullosa and Stevens-Johnson syndrome [ 2, 3 ].[odermatol.com]

Epidemiology

  • […] induced by biological or environmental factors maternal obesity [4] maternal diabetes , not obesity [5] risk for major malformations increases with increasing maternal BMI at the first prenatal visit [8] 20% of birth defects with identifiable cause [7] Epidemiology[anvita.info]
  • However, only a small amount of epidemiological data extracted from a few studies is currently available for the pediatric population [ 5 ].[karger.com]
  • The epidemiology of obsessive-compulsive disorder in the National Comorbidity Survey Replication . Mol Psychiatry 2010 ; 15 : 53 – 63 . 2. Ayuso-Mateos , JL. Global Burden of Obsessive-Compulsive Disorder in the Year 2000 .[cambridge.org]
  • The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use.[embryology.med.unsw.edu.au]
Sex distribution
Age distribution

Pathophysiology

  • Although various hypotheses have been put forward to explain the pathophysiology of the syndrome, its etiology remains unknown.[actasdermo.org]
  • And pathophysiology of inherited paediatric motor neuron disorders. Review of the literature. MUSCLES, SMOOTH MUSCLES, AND SENSE ORGANS. See brown vialetto van laere syndrome case report and literature review also physiology of nervous system and.[understandingcritics.ml]
  • Clubbing: An update on diagnosis, differential diagnosis, pathophysiology, and clinical relevance. J Am Acad Dermatol 2005;52:1020-8. 47. Wiesmann F, Beer M, Krause U, Pabst T, Kenn W, Hahn D, et al.[tjmrjournal.org]
  • Walker J, Baran R, Vélez N, Jellinek N: Koilonychia: an update on pathophysiology, differential diagnosis and clinical relevance. J Eur Acad Dermatol Venereol 2016; 30: 1985–1991. Richert B, André J: Nail disorders in children.[karger.com]

Prevention

  • How can BOD Syndrome be Prevented? Currently, BOD Syndrome may not be preventable, since it is a genetic disorder.[dovemed.com]
  • Centers for Disease Control and Prevention (CDC). BBand pellet gun-related injuriesUnited States, June1992May 1994. MMWR Morb Mortal Wkly Rep1995;44:909913.2. McNeill AM, Annest JL.[documents.tips]
  • PMID: [2] Waller DK, Shaw GM, Rasmussen SA, Hobbs CA, Canfield MA, Siega-Riz AM, Gallaway MS, Correa A; National Birth Defects Prevention Study. Prepregnancy obesity as a risk factor for structural birth defects.[anvita.info]
  • Beau's lines occur in ALL nails, due a general cause preventing nail growth. Other causes of transverse ridges include psoriasis, paronychia and eczema.[patient.info]
  • Transplantation Substance Use and Addiction Surgery Surgical Innovation Surgical Pearls Teachable Moment Technology and Finance The Rational Clinical Examination Tobacco and e-Cigarettes Toxicology Trauma and Injury Treatment Adherence United States Preventive[jamanetwork.com]

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