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CASE REPORT
Year : 2020  |  Volume : 10  |  Issue : 3  |  Page : 122-124

Onychoptosis: A forgotten sign in syphilis infection


1 Department of Neurology, University of Oklahoma Health Sciences Center, Oklahoma City, USA
2 Department of Neurology, Benha University, Benha, Egypt

Correspondence Address:
Dr. Ahmad A Al-Awwad
Department of Neurology, University of Oklahoma Health Sciences Center, 920 Stanton L. Young Blvd. Williams Pavilion; Suite 2040, Oklahoma City, OK 73104.
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajm.ajm_215_19

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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.


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