Some physical signs were found, including hypopigmented macules on her back, right forearm, and right calf, ungual
fibromas on her left hand, and shagreen patch on dorsolumbar area of the back [Figure 1]d.
Some young people and adults present with ungual
growths on their hands or feet that cause embarrassment or discomfort.
tooth minute, inserted at base of ungues; lateral teeth inconspicuous, ending on basal quarter.
An absence of the typical dermatological signs of TS hypomelanotic macules or ash leaf spots (found in up to 90% of patients with TS), confetti lesions, poliosis, facial angiofibromas or adenoma sebaceum, shagreen patches and ungual
fibromas (14)--alerted the clinician to the possibility that the patient did not suffer from TS.
Such anatomical landmarks as cranial sutures, osseous angles and edges, muscle origins and insertions, and obvious landmarks as the tip of nose, apex of the auricle, palpebral junctions, ungual
corners, dermal boundary layers, etc.
This condition is more common in women than in men and ungual
and erosive mucosal involvement is more likely to be present.
The claws, basally open on the pes, are inconspicuous and dorsally covered by several whitish or darker ungual
hairs slightly surpassing their apices.
The internal doses were estimated by urinary and ungual
The deep, blade-like ungual
phalanges and robust pectoral girdle suggest that Teraterpeton hrynewichorum was a burrower (which may well account for the excellent, articulated preservation of the holotype).
Materials--The specimen IGM 9562 from Tamaulipas is moderately well preserved and includes: atlas, right scapula, right and left humeri, right ulna; right metacarpal II, right ungual
phalanx, digits II, IV, and V of the manus; pelvis; right phalanx II, digits III and V, two right ungual
phalanges, of the pes; two caudal vertebrae; seven chevrons; nearly complete carapace divided in various fragments and isolated osteoderms (Figs.
Since true leuconychia is thought to be due to abnormal matrix keratinization, with persistent parakeratosis and keratohyaline granules in the nail plate, so parakeratosis and dissociation of the keratin bundles may play a role in the modification of the solar light reflection by the ungual
Riddel C, Rashid R, Thomas V: Ungual
and periungual human papillomavirus-associated squamous cell carcinoma: A review.