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KMID : 0363219930310020249
Korean Journal of Dermatology
1993 Volume.31 No. 2 p.249 ~ p.248
A Case of Twenty-nail Dystrophy Associated with Chronic Thyroiditis and Alopecia Universalis



Abstract
Twenty-nail dystrophy is a rare entity in which all 20 nails are uniformly and simultaneously affected with excess longitudinal ridging and loss of luster. This condition is though to be idiopathic but, many cases are associated with alopecia
areata,
lichen planus, psoriasis, and ichthyosis. In such cases, it has been hypothesized that immunological disorders could play a role in pathogenesis.
A 29-year-old male patients presented with dystrophic nail change on his all finger and toe nails for 3 years. On phisical examination, all nails were uniformly affected with longitudinal ridging and loss of luster and all body hairs were lost.
Thyroid
scan showed a finding of chronic thyroiditis.
Herein we report a case of twenty-nail dystrophy associated with chronic thyroiditis and alopecia areata. (Kor J Dermatol 1993 ; 31 (2):245-248)
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