Abstract

Pachyonychia congenita (PC) is a rare genodermatosis characterized by hypertrophic nail changes and nail dystrophy. A 17-year-old male presented with thickened, yellowish brown discoloration of all the nails and multiple hyperkeratotic papules over his chest. Patient's younger sister also had similar nail and skin lesions since childhood. Presence of characteristic clinical features led to a diagnosis of a rare condition of PC type-1.

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