
Onychogryphosis: Case Report and Review of the Literature
Author(s) -
Dayoung Ko,
Shari R. Lipner
Publication year - 2018
Publication title -
skin appendage disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.773
H-Index - 13
eISSN - 2296-9195
pISSN - 2296-9160
DOI - 10.1159/000485854
Subject(s) - etiology , medicine , thickening , hyperkeratosis , nail (fastener) , dermatology , nail plate , surgery , pathology , paronychia , chemistry , materials science , polymer science , metallurgy
Onychogryphosis is a disorder of nail plate growth that is clinically characterized by an opaque, yellow-brown thickening of the nail plate with associated gross hyperkeratosis, elongation, and increased curvature. It is most common in older adults and patients with poor personal care. It is a relatively common and important condition because patients may suffer from pain, secondary complications, and cosmetic concerns. We present the case of a 67-year-old man with a 30-year history of severe thickening, abnormal growth, and yellow discoloration of his left great toenail, clinically consistent with onychogryphosis. This review highlights the etiology, diagnosis, and treatment options for onychogryphosis.