Iconography : Unilateral trachyonychia in a patient with reflex sympathetic dystrophy

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Journal of the American Academy of Dermatology
Volume 58, n° 2
pages 320-322 (février 2008)

Doi : 10.1016/j.jaad.2007.02.028

Case Reports

Unilateral trachyonychia in a patient with reflex sympathetic dystrophy

Brian Pucevich, BS, Lori Spencer, MD, PhD, Joseph C. English, MD ^⁎
Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Reprint requests: Joseph C. English III, MD, Associate Professor of Dermatology, Residency Program Director, University of Pittsburgh, Department of Dermatology, 190 Lothrop St, Suite 145, Lothrop Hall, Pittsburgh, PA 15213.


	Abstract

Reflex sympathetic dystrophy (RSD) is a poorly understood neurovascular disorder characterized by pain, altered sensation, motor disturbance, soft tissue changes, vasomotor changes, and autonomic changes that occurs after trauma to an extremity. Unilateral leukonychia, Beau’s lines, nailfold swelling, and nail clubbing have been an observed sequela of RSD. We present a case of a unilateral atypical trachyonychia occurring in the setting of RSD after traumatic fracture of a digit.

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	Funding sources: None.
	Conflict of interest: None declared.

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