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Treatment is complex, and therapeutic options include topical, intralesional, or systemic corticosteroids, retinoids, methotrexate, antimalarials, dapsone, and biologic therapies (adalimumab, secukinumab).6,7,33 Trachyonychia Two subtypes of trachyonychia have been described based on the clinical presentation: opaque or sandpaper trachyonychia and shiny trachyonychia

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