In simple words: Nail dystrophy means your nails have changed in how they look, grow, or feel. They might be discolored, thickened, brittle, or oddly shaped. This can happen because of an infection, injury, or conditions like psoriasis or eczema.

Nail dystrophy is an abnormal change in the shape, color, texture, or growth of the fingernails or toenails. It can manifest as misshapen, damaged, infected, or discolored nails.This can be caused by a variety of factors, including fungal infections, trauma, psoriasis, lichen planus, and other medical conditions. Twenty nail dystrophy, also known as trachyonychia, is a specific type of nail dystrophy affecting all twenty nails.

Example 1: A 10-year-old child presents with rough, ridged nails on all fingers and toes, consistent with twenty nail dystrophy (trachyonychia)., A patient with psoriasis develops thickened and pitted nails, a manifestation of psoriatic nail dystrophy., An individual experiences discoloration and separation of the nail plate from the nail bed (onycholysis) following trauma to the finger.

Documentation should include detailed descriptions of the nail changes (color, shape, texture, and location), associated symptoms, any relevant medical history (such as psoriasis, eczema, or trauma), and diagnostic test results.

** It's important to differentiate nail dystrophy from other nail conditions like onychomycosis (fungal nail infection) to ensure appropriate treatment.