This patient presents with a 20-year history of absent dermatoglyphs (fingerprints). The second digit on the left hand also has a koilonychial appearance.
Submit your diagnosis to see full explanation.
This patient has Naegeli-Franceschetti-Jadassohn syndrome, an extremely rare type 14 keratin mutation. The condition is characterized by absent dermatoglyphs, nail dystrophy, and palmoplantar keratoderma.