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Isolated congenital anonychia is characterized by nail abnormalities ranging from onychodystrophy (dystrophic nails) to anonychia (absence of nails). Onychodystrophy-anonychia has been described in at least four generations of a family with male-to-male transmission, suggesting autosomal dominant transmission. Anonychia has been described in approximately less than 20 cases; it is likely to be transmitted as an autosomal recessive trait. Total anonychia congenita, in which all the fingernails and toenails are absent, may have an autosomal dominant inheritance pattern.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for isolated congenital anonychia.
4 publications have been identified in PubMed for isolated congenital anonychia. Research spans Case Report / Case Series (75%) and Review / Meta-Analysis (25%).
Tanti S (2026). [PMID: 41737087](https://pubmed.ncbi.nlm.nih.gov/41737087/). *Cureus*. [Case Report / Case Series]
Zhang Q (2025). [PMID: 40620857](https://pubmed.ncbi.nlm.nih.gov/40620857/). *Front Pediatr*. [Case Report / Case Series]
Iacoviello M (2025). [PMID: 40806473](https://pubmed.ncbi.nlm.nih.gov/40806473/). *Int J Mol Sci*. [Case Report / Case Series]
Cedirian S (2024). [PMID: 39386306](https://pubmed.ncbi.nlm.nih.gov/39386306/). *Skin Appendage Disord*. [Review / Meta-Analysis]
Data assembled from 3 of 12 sources · Last updated Sep 20, 2026, 4:06 PM UTC
European rare disease database
Genetic and Rare Diseases Info Center