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Surgical management of onychoheterotopia
Author(s) -
Chander Grover,
Geetali Kharghoria
Publication year - 2018
Publication title -
journal of cutaneous and aesthetic surgery
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.44
H-Index - 13
eISSN - 0974-5157
pISSN - 0974-2077
DOI - 10.4103/jcas.jcas_84_18
Subject(s) - medicine , nail matrix , avulsion , nail (fastener) , dorsum , presentation (obstetrics) , surgery , nail plate , dermatology , anatomy , complication , materials science , metallurgy
Onychoheterotopia (ectopic nail) is a rare condition characterized by the development of nail tissue, distinct from the normal nail unit. It is usually acquired following traumatic inoculation of nail matrix; the congenital variety being less common. The exact pathogenesis of the disease is not clear. It affects the dorsal aspect of fingers and toes mostly. Herein, we report a case of a 35-year-old man with post-traumatic onychoheterotopia of left middle finger, who was treated with surgical avulsion of the ectopic nail along with chemical matricectomy of the well-formed ectopic matrix. The patient had a satisfactory cosmetic outcome with normal growth of the nail unit and no recurrence. The report serves to highlight clinical presentation of acquired onychoheterotopia along with its surgical management.

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