title: Acquired Congenital Malalignment of the Great Toenails.
abstract: Congenital malalignment is the lateral deviation of the nail plate along the longitudinal axis due to the lateral rotation of the nail matrix. The nail plate grows out in ridges caused by repeated microtrauma to the nail. Common complications include onychomycosis, Pseudomonas infection and acute or chronic paronychia. Treatment options range from conservative management to surgical options including realignment and nail matrixectomy. Congenital malalignment usually presents in infancy or childhood, but we present two cases of acquired malalignment occurring in the teenage years.
authors.affiliation: Department of Dermatology, Weill Cornell/New York Presbyterian, New York, N.Y., USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: Decker
authors.affiliation: Department of Dermatology, Weill Cornell/New York Presbyterian, New York, N.Y., USA.
authors.forename: Richard K
authors.initials: RK
authors.lastname: Scher
authors.affiliation: Department of Dermatology, Weill Cornell/New York Presbyterian, New York, N.Y., USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Avarbock
keywords: Nail disease; Nail disorder; Nail surgery