A 24-year-old white male presented with a 2-year history of changes to his nails. He stated that the white discoloration had never completely resolved but improved from time to time with the nails ...
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These include whitish spots (leukonychia) and punctate depressions (pitted nails), as well as dystrophy of the nail plate, splinter hemorrhages, and brownish discolorations of the nail bed ("oil ...
The L. family has lived in Massachusetts for several generations on the paternal side. The mother was born in Massachusetts; her parents came from Canada, and 2 of her grandparents were English.
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