Onychogryphosis in tuberous sclerosis complex: An unusual feature

Onychogryphosis is an acquired nail plate change. it often affects the toenail and is characterized by an opaque,yellow-brownish nail plate that is distorted,grossly thickened,elongated,and partly curved resembling a ram’s horn. tuberous sclerosis complex is a multisystem disorder associated with high rates of mental retardation,autism,cognitive impairment,behavioral problems,or seizures. nail disease can also be associated,which is a concern to patients due to pain and nail distortion. we reported a typical tuberous sclerosis complex patient with distinctive clinical features of a ram’s horn nails,which presented a great challenge to surgical treatment and nail restoration. © 2016 by anais brasileiros de dermatologia.