raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2387

Leukonychia totalis

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant, Autosomal recessive
Age of onset
Neonatal
Status
active

Leukonychia totalis is a rare nail anomaly disorder characterized by complete white discoloration of the nails. Patients typically present white, chalky nails as an isolated finding, although other cutaneous or systemic manifestations could also be present.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enLeukonychia totalis
frLeuconychie totale
deLeukonychia totalis
esLeuconiquia total
itLeuconichia totaleSindrome di Gorlin-Bushkell-Jensen
nlLeukonychia totalis
ptLeuconiquia totalSíndrome Gorlin-Bushkell-Jensen
plBielactwo paznokci całkowite
csTotální leukonychie
ukLeukonychia totalis
zh全白甲
trLökonişi totalis

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM151600NTBTvalidated
ICD-10Q84.4NTBTattributedvalidated
ICD-11EC22.0NTBTindexvalidated
MONDO0016557Evalidated
MeSHC535889Evalidated
UMLSC4551625Evalidated
GARD9759Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
PLCD1Disease-causing germline mutation(s) inAssessedHGNC:9060ENSG000001870916021423p22.2phospholipase C delta 121665001[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families44 casesWorldwideCase(s)Validated29805369[PMID]_19401242[PMID]_30003652[PMID]_36987828[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidated29805369[PMID]_19401242[PMID]_30003652[PMID]_36987828[PMID]_ORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

8 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001231Abnormal fingernail morphology
HP:0008388Abnormal toenail morphology
HP:0009720Adenoma sebaceum
HP:0000787Nephrolithiasis
Frequent (79-30%)
HP:0000499Abnormal eyelash morphology
HP:0000498Blepharitis
HP:0000613Photophobia
Occasional (29-5%)
HP:0005978Type II diabetes mellitus

Run the differential on the 4 obligate / very frequent terms

7

Sources for this card