Medknow Publications on behalf of The Indian Association of Dermatologists, Venereologists and Leprologists (IADVL)
Abstract
A 10-month-old female presented with severe progressive wedge-shaped
thickening and discoloration of all twenty nails. Further evaluations
revealed palmoplantar keratoderma along with recurrent acral blisters
causing residual crusted ulcers which were present during the past six
months. Other findings included scalp kinky hair and dental caries.
Past medical and family history had remarkable findings such as natal
teeth and similar skin lesions in her older brother since his infancy.
The patients′ clinical presentations and history are compatible
with pachyonychia congenita presenting with concomitant features of
both subtypes 1 and 2
