Onychoptosis: a forgotten sign in syphilis infection

Abstract Onychoptosis is the periodic shedding and falling of one or more nails, in whole or part. It can be seen after fever, trauma, adverse reaction to medications, and in systemic illnesses including syphilis (syphilitic onychia). We report a case of 38-year-old man presented with subacute bilat...

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Bibliographic Details
Published in:Avicenna journal of medicine 2020-07, Vol.10 (3), p.122-124
Main Authors: Al-Awwad, Ahmad A, Abdelmaksoud, Omar, Albirini, Abdulmawla
Format: Article
Language:English
Subjects:
Case Report
neurosyphilis
onychoptosis
syphilis
syphilitic onychia
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Summary:Abstract Onychoptosis is the periodic shedding and falling of one or more nails, in whole or part. It can be seen after fever, trauma, adverse reaction to medications, and in systemic illnesses including syphilis (syphilitic onychia). We report a case of 38-year-old man presented with subacute bilateral retrobulbar optic neuritis. Physical examination revealed diffuse onychoptosis which lead into the diagnosis of neurosyphilis. Symptoms significantly improved with appropriate treatment with intravenous penicillin G for 14 days.
ISSN:2231-0770
2249-4464
DOI:10.4103/ajm.ajm_215_19