A 1-year-old girl shows changes of the toenails since birth. There are
no associated anomalies typical for genodermatoses, nor is there a fa
mily history of this disorder. Physical examination shows missing or i
ncomplete toenails. In addition a shortening of the second toe on both
sides and the third toe on the left side is found. The second and thi
rd toe on the left side shows incomplete syndactylia. The fingers and
fingernails are all normal. Isolated congenital onychodysplasia of the
toenails has not been previously reported.