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Review and Therapeutic Approach to Malalignment of the Great Toenails: A Common Condition That Is Uncommonly
Julia O Baltz1,2, Hannah J Porter3, Bertrand Richert4
1Dermatology Professionals, Inc., East Greenwich, Rhode Island.
Background:
Malalignment of the great toenails is a common nail disorder that is uncommonly recognized in general practice.
Objective:
Review available literature on lateral malalignment of the great toenails to increase awareness of this underdiagnosed condition and provide management recommendations.
Methods:
A PubMed search was conducted using the terms " congenital malalignment toenail" and "malalignment great toenail" . All articles were reviewed, and all relevant articles were included in this analysis.
Results:
Thirty-four distinct articles encompassing 117 patients with similar clinical findings: lateral deviation of the great toenails with yellow brown dyschromia, thickening, and scalloping.
Limitations:
Description of malalignment and terminology can vary, which may have led to exclusion of some relevant articles.
Conclusion:
Lateral malalignment is a common nail condition that is underappreciated and often misdiagnosed in general dermatologic and medical practice. This review aims to increase awareness to facilitate better care of these patients.
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