Guide To The Conditions That Trachyonychia Can Indicate

Hay-Wells Syndrome

Another condition that has been linked with trachyonychia is Hay-Wells syndrome. It is a rare ectodermal dysplasia characterized by frequent skin erosions, hearing loss, deformed nails, little production of sweat (hypohidrosis), and cleft palate or lip. Hay-Wells syndrome is not so common and only occurs in one hundred thousand births in the United States. It becomes apparent when abnormal development of teeth in the child occurs, but symptoms tend to be noticeable since birth.

Apart from causing absence or malformation of nails, patients also have coarse and sparse hair, and the scalp's chronic inflammatory disease may be present. All of this explains why most individuals with Hay-Wells syndrome also suffer from trachyonychia. Treatment may include ointments for the skin lesions, and surgery may be necessary to fix the cleft palate and missing teeth. Genetic counseling may be useful for the patient and their family.

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