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Onychogryphosis, also known as ram's horn nails, is a nail disorder characterized by the abnormal thickening and curving of the nails. Here are some key points about this condition: Causes Trauma: Repeated injury to the nails, such as from poorly fitting shoes. Fungal Infections: Chronic infections can lead to nail thickening and deformation. Medical Conditions: Diseases like psoriasis, peripheral vascular disease, and ichthyosis can contribute to onychogryphosis. Genetic Factors: Some individuals may have a genetic predisposition to nail disorders. Clinical Features Thickened Nails: Nails become significantly thicker than normal. Curved Nails: Nails grow in a curved or claw-like manner. Discoloration: Nails often appear yellow or brown. Pain and Discomfort: Thickened nails can cause pain and make it difficult to walk or perform daily activities. Diagnosis Clinical Examination: Diagnosis is typically made based on the characteristic appearance of the nails. Additional Tests: In some cases, tests such as fungal cultures or biopsies may be performed to rule out underlying causes. Treatment Proper Footwear: Wearing shoes that fit well and do not compress the toes. Nail Care: Regular trimming and care to prevent further trauma. Medical Treatments: Antifungal medications for infections, and in severe cases, surgical intervention may be necessary. Complications Ingrown Nails: Thickened nails can grow into the surrounding skin, causing pain and infection. Secondary Infections: Increased risk of bacterial or fungal infections #Onychogryphosis