FLOTCH Syndrome: A Case of Leukonychia Totalis and Multiple Pilar Cysts.

Document Type

Article

Publication Date

10-2023

Publication Title

Cutis; cutaneous medicine for the practitioner

Abstract

FLOTCH (leukonychia totalis-trichilemmal cysts-ciliary dystrophy syndrome) syndrome is a rare genetic cutaneous disorder primarily characterized by multiple recurrent trichilemmal pilar cysts and leukonychia. It may be associated with ciliary dystrophy, koilonychia, and/or less frequently renal calculi and pancreatitis inherited in an autosomal-dominant fashion. We report the case of a 25-year-old Black woman who presented with white-colored fingernails and enlarging cysts in multiple locations including the scalp, rib cage, and forearm and was diagnosed with suspected FLOTCH syndrome. Pilar cysts in unusual locations along with distinct nail changes should prompt clinicians to consider further investigation for conditions such as FLOTCH syndrome.

Volume

112

Issue

4

First Page

200

Last Page

202

DOI

10.12788/cutis.0895

ISSN

2326-6929

PubMed ID

37988304

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