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Visual Treats in Dermatology
2023
:3;
115
doi:
10.25259/CSDM_130_2023

Horn like nail

Department of Dermatology, MGMCRI, Sri Balaji Vidyapeeth, Puducherry, India
Department of Dermatology, IPGME&R-SSKM, Kolkata, West Bengal, India
Corresponding author: Devansi Sarawgi, Department of Dermatology, MGMCRI, Sri Balaji Vidyapeeth, Puducherry, India. devansi.sarawgi@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Sarawgi D, Sen S. Horn like nail. CosmoDerma 2023;3:115.

A 36-year-old man presented with opaque, yellow-brown thickening with elongation of his right ring fingernail abnormality for the past 3 years. The curvature of the nail plate was markedly increased and showed transverse striations [Figure 1]. The proximal nail fold was hyperpigmented and thickened. Nail change was preceded by local trauma to the nail apparatus. X-ray of the right ring finger showed no evidence of any underlying tumor. The patient denied consent for invasive procedures, including nail matrix biopsy. Based on the clinical findings, a diagnosis of onychogryphosis was made. He was advised to trim his nail and apply 40% urea once daily for 2 weeks. The patient lost to follow-up.

Figure 1:
Thickening with elongation and increased curvature of the fingernail.

Onychogryphosis, also known as Ram’s horn nails, is characterized by hyperkeratosis and excessive nail curving. It may result from trauma, peripheral vascular diseases, wearing ill-fitted shoes, lack of self-care, etc. Treatment options include shortening the nail using an electric drill and burrs, nail destruction by 40% urea, and nail avulsion followed by ablative or excisional matricectomy.[1]

Declaration of patient consent

Patient’s consent not required as patients identity is not disclosed or compromised.

Conflicts of interest

There are no conflicts of interest.

Use of artificial intelligence (AI)-assisted technology for manuscript preparation

The authors confirm that there was no use of Artificial Intelligence (AI)-Assisted Technology for assisting in the writing or editing of the manuscript and no images were manipulated using the AI.

Financial support and sponsorship

Nil.

References

  1. . Onychogryphosis. Our Dermatol Online. 2011;2:227-8.
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