Onychoscopy as a diagnostic tool for trachyonychia in a4-year-old child

Document Type : Letter to Editor

Authors

1 Department of Dermatology, Venereology and Leprosy, Gandhi Medical College and Hospital, Secunderabad, Telangana, India

2 Department of Dermatology, Gandhi Medical College, Telangana, India

Abstract
Trachyonychia is an inflammatory nail disorder characterized by a rough and brittle nail surface. It typically arises as a primary condition with no known cause. However, it can also occur secondary to dermatological disorders, including alopecia areata, psoriasis, lichen planus, ichthyosis vulgaris, vitiligo, and atopic dermatitis. Although the literature has primarily documented cases in adults, it frequently occurs in children as well. We present the case of a 4-year-old girl who refered to us with dystrophy of all her fingernails and toenails. In cases where a biopsy is impractical, such as in children, our goal is to review dermoscopic findings that can help identify the disorder’s etiology.

Keywords