Presentation
Ectodermal dysplasia’s is usually associated with hair, palmoplantar involvement and dental abnormalities which are not present in our case. [2] The present case has been reported for the rarity of the condition, newborn presentation, associated features [ijpd.in]
[…] normal number of fingers or toes, is presented. megalodactyly. // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1429 A definition of the term "megalodactyly," which refers to having very large fingers or toes is, presented. megalosyndactyly [connection.ebscohost.com]
In this review, we report a case of COIF who presented with bilateral micronychia with a Y-shaped bifurcation of the distal phalanx. [koreauniv.pure.elsevier.com]
We think that, for the present, thereare no grounds to keep isolated COIF forms separatedfrom those with associated malformations.The kind of micronychia present in the feet of ourpatients father deserves some consideration. [documents.tips]
The second presented with bilateral hypoplastic nail of the index finger and bilateral symphalangism of the fifth finger; aplastic distal phalanges of the second finger was also noted radiologically. [ncbi.nlm.nih.gov]
Entire Body System
- Inguinal Hernia
In addition to the typical bilateral split nail of the second finger, the patient showed bilateral inguinal hernia, a peculiar face, and short hands. [ncbi.nlm.nih.gov]
In utero exposure to teratogens Franceschini et al reported a boy with bilateral hypoplasia of the index fingers associated with mild mental retardation, inguinal hernia, macrocephaly, medial flaring of the eyebrows, esotropia of the left eye, long palpebral [emedicine.medscape.com]
- Nail Abnormality
Various nail abnormalities are observed, including (1) anonychia (lack of a fingernail), (2) micronychia (a small fingernail deviated to 1 side of the nail bed), (3) polyonychia (multiple, small, individual nails on one nail bed), (4) hemionychogryphosis [dermaamin.com]
Abnormalities of collagen VII make the nail attachment vulnerable to mild trauma. Recurrent nail loss then leads to scarring and nail dystrophy, mainly of the big toes. [handresearch.com]
Matrix or nail bed abnormalities are most common. An abnormal nail is defined as one which looks different than a normal nail should look, regardless of the discrepancy, (shape and size) because there may be associated a phalangeal abnormality. [sites.google.com]
Nail changes in: Children, elderly, pregnancy. Aims To study the abnormal nail changes in patients coming to the Department of Dermatology. [odermatol.com]
- Turkish
Turkish Journal of Pediatrics 56(4): 462-463, 2016 Congenital nail defects or onychodysplasia of the index fingers report of a case and a review of previously reported cases in japan. [eurekamag.com]
Musculoskeletal
- Short Hands
In addition to the typical bilateral split nail of the second finger, the patient showed bilateral inguinal hernia, a peculiar face, and short hands. [ncbi.nlm.nih.gov]
Claudy [1980] 1 (father & son) Millman and Strier [1982] 1 (9 patients) 1 - Broad hands with short fingers 5th fingers clinodactyly 1 - 5th fingers clinodactyly 1 - Broad hands with short fingersKitayama and Tsukada [1983]1 - Onychodysplasia of right [documents.tips]
Treatment
Treatment - Isolated congenital nail dysplasia There is no known treatment for ICND. Symptomatic treatment helps alleviate the disease burden. Resources - Isolated congenital nail dysplasia [checkorphan.org]
Considerable strides have been made in the treatment of fungal diseases (onychomycoses) with the appearance of new therapeutic agents. [books.google.de]
Treatment of nail psoriasis is always disappointing. [handresearch.com]
Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]
It istherefore possible that bone growth will continue and thedefect will appear later as narrowing of the distal pha-lanx, as has been extensively described.The third baby is the first case of COIF associatedwith gestational diabetes and insulin treatment [docslide.com.br]
Prognosis
Prognosis - Isolated congenital nail dysplasia The ICND is a lifelong condition. Patient documented by Pavone (1982) lost his nails almost completely in his twenties and did not regain them before he died at 77. [checkorphan.org]
Nail changes are not only seen in extensive alopecia areata but may also be present with minimal hair loss and does not imply a poor prognosis for regrowth. Uniform pitting is the most common abnormality seen in alopecia areata. [odermatol.com]
Etiology
The etiology of this condition is unknown, but clinical study suggested that ischemia of the finger at a certain period of embryonic life might play an important part in its pathogenesis. [ncbi.nlm.nih.gov]
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Miscellaneous etiologies A report from 2014 suggests that hepatitis B may have played a role in the development of congenital onychodysplasia of the index fingers. [9] The role of infection is unclear but warrants further consideration. [emedicine.medscape.com]
Classification of these conditions often presents many nosological challenges, since underlying etiologies and pathogenetics are often not known. [howlingpixel.com]
Radiological examination of affected fingers; Bifurcation of the affected distal phalanx of the big toe; Etiology of the disease. [connection.ebscohost.com]
Epidemiology
Haeneke E: Epidemiology and Pathology of onychomycosis. In Onychomycosis Nolting S. Korting Eds. Berlin Springer Verlay 1989; 1-8. 6. Williams HC: The epidemiology of onychomycosis in Britain. Br J Dermatol. 1993; 26: 481-490. 7. [odermatol.com]
Pathophysiology
A genetic mechanism most likely underlies the pathophysiology of congenital onychodystrophy of the index finger (COIF). [5, 6]. Most cases are sporadic, but autosomal dominant transmission has been described. [emedicine.medscape.com]
Brenner/Rector remains the go-to resource for practicing and training nephrologists and internists who wish to master basic science, pathophysiology, and clinical best practices. [books.google.com]
[…] index fingernails Deformities of the nails on other fingers Radiographic abnormalities of the distal bony phalanx on the affected fingers Congenital occurrence, which can be either hereditary or sporadic A genetic mechanism most likely underlies the pathophysiology [dermaamin.com]
Although various hypotheses have been put forward to explain the pathophysiology of the syndrome, its etiology remains unknown. [actasdermo.org]
Prevention
Prevention - Isolated congenital nail dysplasia Not available. Genetic counselling may help in families where the disease occurred previously. [checkorphan.org]
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 [doi.org]
Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] [icdlist.com]
This acellular membrane is tightly adherent and prevents invasive microorganisms reaching the underlying matrix. The lunula (half moon) represents the distal portion of the nail’s proliferative matrix. [clinicalgate.com]