7yrs female child having following type of nail dystrophy since 2 month of her age. no itching, no foul smelling, no alopecia or eczema associated. but she had multiple small papules over elbow n buttocks just like papules of molluscum contagiosm. Also she had corns n calluses over both soles. Mentally normal n no family history

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TWENTY NAIL DYSTROPHY TND self limiting Involved all 20 nails Discolouration of nail plates with out any changes in nailfolds or cuticle is characteristic Biopsy of nails diagnostic which will revealed eczema change in some nail matrix and psoriasisiform in others

Sir, what can we prescribed such patients. As she is suffering from birth
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Onychomycosis

Neglected pt of onychomycosis KOH preparation for confirmation Rx Topical & oral antifungal

Sir, she had above mention complaint since 2 month of her age now she is 7 years
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Onchomycosis

nail dystrophy

Nail depigmentation & dystrophy Causes Lichen planus ( nitidus) Malnutrition + vit.deficiencies Tinea nails

Twenty nail Dystrophy psoriasis.

Thanks Dr Dinesh Gupta
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20 nail dystrophy

Dx : TWENTY NAIL DYSTROPHY. D/D : PSORIASIS.

What could be d management part sir
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Twenty nail dystrophy Tend to disappear with age

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