Abstract
Onychomadesis is a clinical sign of nail plate separation due to transient or permanent arrest of nail matrix activities. Onychomadesis can be considered as a severe form of Beau's line. This condition usually occurs after trauma, causal diseases, or medications, yet it rarely occurs as an idiopathic condition. We report a case of a 38-year-old Thai female who developed recurrence onychomadesis in several toenails in the absence of predisposing factors or associated conditions. To the best of our knowledge, our patient is the first reported case of idiopathic onychomadesis limited to toenails.
Highlights
Onychomadesis is a clinical sign of nail plate separation due to transient or permanent arrest of nail matrix activities
If the nail matrix remains injured for a long period of time, the line becomes deeper until splitting of the nail plate; as a result, shedding of the nail occurs
Onychomadesis is characterized by nail plate separation from the nail bed
Summary
Onychomadesis is a clinical sign of nail plate separation due to transient or permanent arrest of nail matrix activities. The nail plate shows a transverse depression line (Beau’s line). If the nail matrix remains injured for a long period of time, the line becomes deeper until splitting of the nail plate; as a result, shedding of the nail occurs (onychomadesis). Onychomadesis can be considered as a severe form of Beau’s line [1]. This condition usually occurs after trauma, causal diseases, or medications, yet it rarely occurs as an idiopathic condition. We report a case of a 38-yearold Thai female who developed recurrence onychomadesis in several toenails in the absence of predisposing factors or associated conditions
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