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Image Number 751 (Alopecia areata, nail changes)

 
Morphology:
Nail dystrophy

Diagnosis: Alopecia areata, nail changes

Site: Nails

Sex: F

Age: 35

Type: Clinical

Description: Longituninal ridging and diffuse pitting

Submitted by: Shahbaz Janjua

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Differential Diagnosis

History:

The nail changes observed in alopecia areata include diffuse fine pitting, onychorrhexis, Beau's lines, longitudinal ridging, onychodystrophy and trachyonychia.  Nail changes may either precede, accompany or follow the hair loss.  The presence of nail changes in alopecia areata is usually considered as an indicator of severity of the disease and  reflects a more refractory disease as compared to patients without nail changes.

Ref:  Modani S, Shapiro J. Alopecio areata update. J Am Acad Dermatol 2000; 42:549-566.



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