Table 4 Frequency of hair and nail features (n = 112) in reported trichothiodystrophy patients
Patients No. (%)
Hair feature112 (100)
    Brittle hair or hair shaft abnormality108 (96)
        Brittle hair98 (88)
        Hair shaft abnormality76 (68)
    Tiger tail82 (73)
    Decreased sulfur or cystine79 (71)
    Sparse hair54 (48)
    Alopecia44 (39)
        Hair loss with fever or infection8 (7)
    Dry hair24 (21)
    Fine hair16 (14)
    Slow growing hair8 (7)
    Long hair5 (4)
Nail feature70 (63)
    Onychodystrophy*41 (37)
    Brittle nails16 (14)
    Hypoplasia15 (13)
    Koilonychia13 (12)
    Splitting (onychoschizia); peeling8 (7)
    Ridging7 (6)
    Other†3 (3)
Normal nails; not reported14 (13); 28 (25)
Total112 (100)
  • *We collated reports of dysplasia, dystrophic nails, thickening and yellow discoloration as onychodystrophy.

  • †Slow growing nails (2 patients) and soft nails (1).