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nonsyndromic congenital nail disorder 1
Description
Nonsyndromic congenital nail disorder 1, also known as twenty-nail dystrophy (TND) or trachyonychia, is a condition that affects the fingernails and toenails. It is characterized by excessive longitudinal striations and numerous superficial pits on the nails [4][6]. This condition can be inherited in an autosomal dominant pattern, meaning that if one parent has the condition, each child has a 50% chance of inheriting it [6].
The symptoms of nonsyndromic congenital nail disorder 1 typically begin in early childhood and may progress over time. The nails may become brittle, thin, or fragile, and may develop longitudinal striations that can be visible to the naked eye [3][9]. In some cases, the nails may also develop superficial pits or ridges.
It's worth noting that nonsyndromic congenital nail disorder 1 is a rare condition, and there may be limited information available on it. However, research suggests that it is one of several types of nonsyndromic congenital nail disorders (NDNC) that have been described [2][5].
References: [1] Mar 1, 2017 — Nonsyndromic congenital nail disorder 10 is a condition that affects the fingernails and toenails. Explore symptoms, inheritance, genetics ... [4] Twenty-nail dystrophy (TND), also known as trachyonychia (from the Greek for 'rough nails'), is an autosomal dominant nail dystrophy characterized by excessive longitudinal striations and numerous superficial pits on the nails, which ... [6] Twenty-nail dystrophy (TND), also known as trachyonychia (from the Greek for 'rough nails'), is an autosomal dominant nail dystrophy characterized by excessive longitudinal striations and numerous superficial pits on the nails, which ...
Additional Characteristics
- excessive longitudinal striations
- numerous superficial pits
- brittle
- thin
- fragile
- longitudinal striations
- superficial pits
- ridges
Signs and Symptoms
Based on the available information, here are the signs and symptoms of nonsyndromic congenital nail disorder 10 (not 1, as it seems there is no information about a condition with that number):
- Extremely thick, claw-like nails that may be missing parts, with slow growth [3]
- Onychauxis: extremely thick nails that separate from the underlying nail bed (onycholysis) and can appear claw-like [6]
- Longitudinal streaks on the nails
- Thinning of the nail plate
- Poorly developed or absent nails in some fingers
It's worth noting that these symptoms are primarily related to nonsyndromic congenital nail disorder 10, not a condition with the number 1. If you're looking for information on a different condition, please let me know and I'll do my best to assist you.
References: [3] - Nonsyndromic congenital nail disorder 10 involves extremely thick, claw-like nails that may be missing parts, with slow growth. [6] - Affected individuals have extremely thick nails (onychauxis) that separate from the underlying nail bed (onycholysis) and can appear claw-like.
Additional Symptoms
- Extremely thick, claw-like nails that may be missing parts, with slow growth
- Onychauxis: extremely thick nails that separate from the underlying nail bed (onycholysis) and can appear claw-like
- Longitudinal streaks on the nails
- Thinning of the nail plate
- Poorly developed or absent nails in some fingers
Diagnostic Tests
Based on the provided context, it appears that diagnostic tests for nonsyndromic congenital nail disorder 1 (NDNC1) are not explicitly mentioned. However, I can provide some information on how this condition might be diagnosed.
Diagnostic Approach
Nail disorders, including NDNC1, are typically assessed through a combination of clinical inspection, dermatoscopy, diagnostic imaging, microbiological testing, and histopathological examination [5]. The diagnostic approach may vary depending on the underlying cause of the nail disorder.
Clinical Inspection
A thorough clinical inspection is often the first step in diagnosing NDNC1. This involves examining the nails for signs such as longitudinal striations, pits, and a rough appearance [3].
Dermatoscopy
Dermatoscopy, also known as epiluminescence microscopy, may be used to examine the nails more closely and identify any abnormalities [5].
Diagnostic Imaging
Imaging studies, such as X-rays or ultrasound, may be performed to rule out other conditions that could be causing the nail disorder [5].
Microbiological Testing
In some cases, microbiological testing may be necessary to determine if a fungal infection is present and contributing to the nail disorder [15].
Histopathological Examination
A histopathological examination of a nail sample may be performed to confirm the diagnosis of NDNC1 or rule out other conditions [5].
It's worth noting that genetic testing, such as next-generation sequencing (NGS), may also be used to diagnose NDNC1 in some cases [12]. However, this is not typically the first line of diagnostic testing.
References:
[3] Cost-effectiveness of diagnostic tests for toenail onychomycosis: a repeated-measure, single-blinded, cross-sectional ... [5] Oct 9, 2023 — Outline · Anonychia/hyponychia · Nonsyndromic congenital nail disorder 1 · Hereditary leukonychia · Congenital nail disorders are assessed by clinical inspection, dermatoscopy, diagnostic imaging, microbiological testing, and histopathological examination. [12] Clinical Genetic Test offered by Fulgent Genetics for conditions (1): Nonsyndromic congenital nail disorder 1; Testing genes (1): FZD6 (8q22.3); Methodology includes Next-Generation (NGS)/Massively parallel sequencing (MPS); [15] Nonsyndromic congenital nail disorder 1. 0 drugs in development. 8 drugs approved by FDA. Treatment guidelines . Nail disorders are assessed by clinical inspection, dermatoscopy, diagnostic imaging, microbiological testing, and histopathological examination.
Additional Diagnostic Tests
- Diagnostic Imaging
- Dermatoscopy
- Histopathological Examination
- Clinical Inspection
- Microbiological Testing
Treatment
Based on the provided context, it appears that there are some treatment options available for nonsyndromic congenital nail disorder 10 (not specifically mentioned in the search results, but possibly related to the condition). However, I found some relevant information about drug treatments for similar conditions.
According to search result [3], drugs that may be used to treat nonsyndromic congenital nail disorders include:
- Terbinafine: an antifungal agent that can help treat fungal infections of the nails (cited in [1])
- Antifungal Agents: a class of medications that can help treat fungal infections of the nails (cited in [2])
- Enzyme Inhibitors: a class of medications that can help regulate enzyme activity and may be used to treat nail disorders (cited in [3])
- Anti-Infective Agents: a class of medications that can help treat bacterial or fungal infections, including those affecting the nails (cited in [3])
It's essential to note that these treatment options are not specifically mentioned for nonsyndromic congenital nail disorder 10. However, they may be relevant for similar conditions.
Additionally, search result [5] mentions that combination therapy is more successful than monotherapy in treating some types of nail disorders. This suggests that a multi-faceted approach to treatment may be beneficial for some patients.
Please consult with a healthcare professional for personalized medical advice and treatment. They can help determine the best course of action based on individual circumstances.
Recommended Medications
- Antifungal Agents
- Enzyme Inhibitors
- Anti-Infective Agents
- terbinafine
💊 Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Understanding Nonsyndromic Congenital Nail Disorders
Nonsyndromic congenital nail disorders refer to a group of conditions that affect the nails, but are not associated with any underlying syndrome. These disorders can manifest in various ways, including changes in nail shape, size, color, and texture.
Differential Diagnosis for Nonsyndromic Congenital Nail Disorder 1 (NDNC1)
When considering a differential diagnosis for NDNC1, several conditions come to mind:
- Nail Dysplasia: This condition is characterized by excessive longitudinal striations and loss of nail luster. It often begins in early childhood and can be idiopathic.
- Nonsyndromic Congenital Nail Disorder 10 (NDNC10): This condition affects the fingernails and toenails, causing them to become extremely thick (onychauxis). It is a distinct entity from NDNC1.
- Anonychia/Hyponychia: These conditions refer to the absence or underdevelopment of nails. They can be part of a nonsyndromic congenital nail disorder.
Key Features to Consider
When differentiating between these conditions, consider the following key features:
- Age of onset: NDNC1 typically presents at birth, while nail dysplasia may begin in early childhood.
- Nail morphology: NDNC10 is characterized by extremely thick nails, whereas nail dysplasia involves excessive longitudinal striations and loss of luster.
- Associated symptoms: Anonychia/hyponychia are often associated with other ectodermal anomalies.
References
- [3] Nail dysplasia is an idiopathic nail dystrophy, beginning in early childhood, and characterized by excessive longitudinal striations and loss of nail luster.
- [8] Nonsyndromic congenital nail disorder 10 is a condition that affects the fingernails and toenails. Affected individuals have extremely thick nails (onychauxis).
- [6] Anonychia/hyponychia are conditions that refer to the absence or underdevelopment of nails.
Please note that this information is based on the search results provided, and a comprehensive differential diagnosis should be made by a qualified medical professional.
Additional Differential Diagnoses
- Nail Dysplasia
- Hyponychia
- obsolete nonsyndromic congenital nail disorder 10
Additional Information
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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.