From the Dermatology Unit, Department of Medicine, King Faisal Hospital, Taif, and Dermatology Division, Department of Medicine, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
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A 27-year-old man presented with a history of the absence of the nails of all the fingers and toes since birth. His parents were first-degree cousins and there was no other case in the family. The past medical history was unremarkable. Examination revealed the absence of all the nails of all the toes and fingers (Fig. 1). The teeth and hair were normal and there were no significant skin lesions. Other systemic examinations were normal. X-Ray of the hands and feet showed the presence of terminal phalangeal bones. The patient was diagnosed with anonychia congenita totalis simplex.