Total Anonychia Congenita with Carpal Synostosis

Background: Anonychia congenita is a rare genetic disorder of fingernails and/or toenails with unknown prevalence leading to aplasia of nail structures which may be seen either as an isolated abnormality or as part of a syndrome affecting multiple parts of the body such as nail-patella syndrome. In...

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Main Authors: Milad Bahari, Negar Douzandeh
Format: Article
Language:English
Published: Hormozgan University of Medical Sciences 2024-12-01
Series:Disease and Diagnosis
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Online Access:https://ddj.hums.ac.ir/PDF/ddj-13-175.pdf
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author Milad Bahari
Negar Douzandeh
author_facet Milad Bahari
Negar Douzandeh
author_sort Milad Bahari
collection DOAJ
description Background: Anonychia congenita is a rare genetic disorder of fingernails and/or toenails with unknown prevalence leading to aplasia of nail structures which may be seen either as an isolated abnormality or as part of a syndrome affecting multiple parts of the body such as nail-patella syndrome. In some cases, not all fingers or toes are involved or only part of the nail is absent (hyponychia). Case Report: A 36-year-old man with the absence of all fingernails and toenails of both hands and feet was presented in this study. The patient claimed that his anomaly was present at birth. He had normal developmental milestones and normal intelligence. The patient’s general medical history was unremarkable. His parents were first-degree cousins and were completely healthy and unaffected. All his brothers and sisters were also unaffected. There were no co-existing symptoms except obvious signs of synostosis between trapezoid and trapezium bones detected bilaterally in both hands and unilateral capitate-hamate synostosis found in the right hand in radiographic assessment. Conclusion: The patient was diagnosed with total congenital anonychia accompanied by bilateral carpal synostosis. Genetic analysis is warranted to confirm the diagnosis and identify the causative gene in this case.
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spelling doaj-art-0de7ca289398458c8f71130c290732b72025-01-12T10:50:00ZengHormozgan University of Medical SciencesDisease and Diagnosis2717-32322024-12-0113417517810.34172/ddj.1627ddj-1627Total Anonychia Congenita with Carpal SynostosisMilad Bahari0Negar Douzandeh1Physiotherapy Ward, Fars Petroleum Industry Health Organization, Shiraz, IranBachelor of Science in Nursing, Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, IranBackground: Anonychia congenita is a rare genetic disorder of fingernails and/or toenails with unknown prevalence leading to aplasia of nail structures which may be seen either as an isolated abnormality or as part of a syndrome affecting multiple parts of the body such as nail-patella syndrome. In some cases, not all fingers or toes are involved or only part of the nail is absent (hyponychia). Case Report: A 36-year-old man with the absence of all fingernails and toenails of both hands and feet was presented in this study. The patient claimed that his anomaly was present at birth. He had normal developmental milestones and normal intelligence. The patient’s general medical history was unremarkable. His parents were first-degree cousins and were completely healthy and unaffected. All his brothers and sisters were also unaffected. There were no co-existing symptoms except obvious signs of synostosis between trapezoid and trapezium bones detected bilaterally in both hands and unilateral capitate-hamate synostosis found in the right hand in radiographic assessment. Conclusion: The patient was diagnosed with total congenital anonychia accompanied by bilateral carpal synostosis. Genetic analysis is warranted to confirm the diagnosis and identify the causative gene in this case.https://ddj.hums.ac.ir/PDF/ddj-13-175.pdfnail abnormalitiesanonychiasynostosiscongenital disorder
spellingShingle Milad Bahari
Negar Douzandeh
Total Anonychia Congenita with Carpal Synostosis
Disease and Diagnosis
nail abnormalities
anonychia
synostosis
congenital disorder
title Total Anonychia Congenita with Carpal Synostosis
title_full Total Anonychia Congenita with Carpal Synostosis
title_fullStr Total Anonychia Congenita with Carpal Synostosis
title_full_unstemmed Total Anonychia Congenita with Carpal Synostosis
title_short Total Anonychia Congenita with Carpal Synostosis
title_sort total anonychia congenita with carpal synostosis
topic nail abnormalities
anonychia
synostosis
congenital disorder
url https://ddj.hums.ac.ir/PDF/ddj-13-175.pdf
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AT negardouzandeh totalanonychiacongenitawithcarpalsynostosis