01427nas a2200253   4500000000100000008004100001653001200042653002100054653001900075653002700094100001700121700001600138700001600154700001400170700001900184700001400203700001200217700002000229245009400249856007500343300001200418490000600430520073700436       2019                            d10aleprosy10aHansen`s disease10aUngual changes10aDifferential diagnosis1 aRodrigues MM1 aCordeiro RN1 aSantos MÁR1 aLucena NC1 aVasconcelos RM1 aTakano DM1 aLima DL1 aLins e Mello AL00a[Hansen's disease: a rare presentation with the involvement of 20 nails – case report].  uhttp://brazilianjournals.com/index.php/BJHR/article/viewFile/1204/1064  a718-7260 v23 a<p>Ungual changes are common in hanseniasis and attributed to a combination of factors such as neuropathy, trauma, vascular disorders and infections. It is estimated that 56% of paucibacillary patients and 87% of multibacillary patients present nail changes, of which the most common are: nail hyperkeratosis, onychorrhysis, onicorrhexis, micronycle, anonychia, Beau's grooves, scleronychia, longitudinal melanonychia and inverse nail pterygium. The present report presents ungual changes of leprosy in its rarest manifestation, of involvement of 20 nails and make an differential diagnosis with nail lichen planus, mucocutaneous candidiasis, pachydermoperiostosis, and other peripheral neuropathies such as Diabetes Mellitus.</p>