Plummerís nails (onycholysis) in an adolescent Nigerian girl with hyperthyroidism due to Gravesí disease (pp. 345-349)
Authors: Alphonsus N Onyiriuka, Chinedu A Atamah, and Louis C Onyiriuka
Abstract: This is a case report of a 16-year-old Nigerian girl with Plummerís nail associated with hyperthyroidism (Gravesí disease). The issue of excessive weight gain after therapy for the Gravesí disease was also discussed. Following therapy, the patient gained 7 Kg over a period of 5 months. The diagnosis of hyperthyroidism due to Gravesí disease was based on increased heart rate at rest, diffuse smooth goiter, mild ophthalmopathy, low TSH (thyroid stimulating hormone) level, elevated T3 (triiodothyronine)and T4 (tetraiodothyronine) levels. The case report emphasize the need for clinicians to be alert to the possibility of nail changes in adolescents with thyroid diseases and watch out for weight gain following successful therapy.