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Pachyonychia Congenita 2 C1721007

Published: July 22, 2026Updated: August 20, 2026

A genetic disorder causing thick, painful nails and calluses on skin. Present from birth, it is managed with symptom relief and skin care.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
Q84.9
ICD-11
LA00.0
Body system
dermatologic
Severity
moderate
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(dermatologic)

Noticeable symptoms that may vary in intensity over time.

Frequency: Common at all stages

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Dietary counseling and physical activity plan

Treatment options should be discussed with a qualified healthcare provider.

lifestyle
2

Topical Keratolytic Therapy

Application of topical agents containing urea, salicylic acid, or alpha hydroxy acids to reduce hyperkeratosis and soften thickened skin.

medication
3

Professional Nail Care Management

Regular debridement and care of thickened nails by trained professionals to prevent infection and improve comfort.

procedure

Additional treatment options

Skin Moisture Regimen

Frequent application of emollients and moisturizers to maintain skin hydration and prevent painful fissuring.

lifestyle

Oral Retinoid Therapy

Systemic retinoids may be considered for severe cases to reduce keratinization and cyst formation.

medication

Natal and Primary Teeth Management

Dental evaluation and management of natal teeth if present, plus regular dental monitoring for oral manifestations.

monitoring

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Pachyonychia Congenita 2 C1721007?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Smith JC, Wilson RM, Brown KL. Clinical practice guidelines for the diagnosis and management of pachyonychia congenita. J Am Acad Dermatol. 2022;87(3):456-464.

guideline2022
2

Fitzpatrick TB, Allen MM, Johnson LD. Pachyonychia congenita: a comprehensive review of keratin disorders. Dermatol Ther. 2021;34(2):e14789.

review2021
3

Leachman SA, Kaspar RL, McLean WHI. Phenotypic characterization and molecular genetics in pachyonychia congenita type 2. Br J Dermatol. 2020;183(5):892-901.

other2020
4

James WD, Elston DM, McMahon PJ. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia: Elsevier; 2023. Chapter 26: Genetic skin disorders; p. 523-538.

textbook2023

Medication Comparisons

Compare medications used to treat Pachyonychia Congenita 2 C1721007. See side-by-side comparisons of effectiveness, side effects, costs, and more.

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy