Polyonychia

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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Polyonychia
Synonyms	Supernumerary nails
Pronounce	N/A
Specialty	N/A
Symptoms	Presence of extra nails on fingers or toes
Complications	Possible infection or discomfort
Onset	Congenital
Duration	Lifelong
Types	N/A
Causes	Genetic factors
Risks	Family history of congenital anomalies
Diagnosis	Physical examination, imaging studies
Differential diagnosis	Polydactyly, nail disorders
Prevention	None
Treatment	Surgical removal of extra nails if necessary
Medication	N/A
Prognosis	Generally good
Frequency	Rare
Deaths	N/A

Polyonychia is a rare nail disorder characterized by the presence of more than the normal number of nails on one or more digits. The term is derived from the Greek words poly meaning "many" and onyx meaning "nail". Polyonychia can occur in both the fingers and toes, and it may be present at birth (congenital) or develop later in life (acquired).

Causes

The exact cause of polyonychia is not well understood, but it is thought to be related to disruptions in the normal development of the nail during embryonic growth. This can be due to genetic mutations or environmental factors affecting nail formation. In some cases, polyonychia is associated with other congenital anomalies or syndromes, suggesting a complex interplay of genetic and environmental factors in its development.

Symptoms and Diagnosis

The primary symptom of polyonychia is the presence of extra nails, which may vary in size and shape. These additional nails can cause discomfort, especially if they interfere with normal nail growth or are located in areas that are subject to pressure or trauma. Diagnosis of polyonychia typically involves a physical examination and may include imaging studies to assess the underlying bone structure for any abnormalities. In cases where polyonychia is part of a syndrome, genetic testing may be conducted to identify specific mutations.

Treatment

Treatment for polyonychia focuses on managing symptoms and preventing complications. In mild cases, no treatment may be necessary. However, if the extra nails cause discomfort or impair function, surgical removal may be considered. Careful monitoring is important to detect any changes in the nails that might indicate the development of secondary issues, such as infections or deformities.

Prognosis

The prognosis for individuals with polyonychia varies depending on the presence of associated conditions and the number of digits involved. In many cases, individuals with polyonychia lead normal, healthy lives with minimal impact from the condition. However, regular follow-up with a healthcare provider is recommended to manage any potential complications.

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