Case Report
Idiopathic Sporadic Onychomadesis of Toenails
Table 1
Clinical characteristics of previously reported cases of idiopathic onychomadesis.
| Article | Age (Y) | Sex | Presenting symptom | Onset and duration | History of affected nail | Family history | Physical examination |
| Montgomery, 1897 [3] | 35 | Male | Shedding of nail plate | Infancy | Both | Yes | Right thumbnail loosened | Oliver, 1927 [4] | 12 | Male | Shedding of big toenail | 2 years | Toenails | Yes | Right big toenail loosened | Martin and Rudolph, 1980 [5] | 25 | Male | Shedding of nail plate | Childhood | Both | Yes | All toenails loosened, with 7 affected fingernails | Mehra et al., 2000 [6] | 12 | Female | Asymptomatic nail shedding | 4 months | Both | Yes | Separation of both 3rd fingernails, left 4th toenail, and right big toenail | Venugopal and Murrell, 2009 [7] | 79 | Male | Nail shedding every winter | 10 years | Fingernails | No | Beau’s line of all fingernails with toenail dystrophy | Hardin and Haber, 2012 [8] | 14 | Female | Periodic shedding of fingernails 2-3 times/year | 3 years | Fingernails | No | Separation of left thumbnail with intact nail plate | Present case | 38 | Female | Periodic shedding of toenails 3-4 times/year | 10 years | Toenails | No | Separation of right 4th toenail |
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