Genetically transmitted anomaly of nails (presence of white nails).
Gorlin Bushkell Jensen Syndrome; Porcelain Nails Disease.
The exact incidence remains unknown. It is expected to be significant worldwide as it is often associated with other medical conditions, either acquired or congenital.
It is suggested as an autosomal recessive inheritance pattern.
Incomplete keratinization in the intermediate part of the nail plate.
Clinical presence of completely white nails, together with histologic evidence of a defect in the nail plate. Leukonychia totalis, koilonychia, multiple sebaceous cysts, and renal calculi.
Precautions before anesthesia
There are no specific precautions before anesthesia except for the possibility of an underlying medical condition that could carry its own potential considerations.
The perioperative considerations are determined by the underlying medical conditions/intoxications. Patients receiving chronic corticosteroid therapy must be carefully prepared and intraoperative supplementation might be required.
Other condition to be considered
See “Leukonychia Overview” and Table L-2 for completion.
B: An idiopathic leukonychia totalis and leukonychia partialis case report and review of the literature. Skin Appendage Disord
AS: Idiopathic leukonychia totalis and partialis in a 12-year-old patient. J Am Acad Dermatol
HA: Leukonychia totalis in two sibs. Am J Med Genet