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case_images: Both thumbnails showed signs of nail dystrophy, including discoloration, loss of cuticles, abnormal shape, depressions in the middle of the nail plate, and thick, flaky scales on the surface.
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case_images: The skin surrounding her thumbnails has become thickened and developed a scaly texture. (Figure 1).
case_images: After receiving one PDL treatment, remarkable improvements in the appearance of the nail plate, nail bed, and surrounding skin can be noticed.
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case_images: Throughout the treatment process, the patient and her mother were highly satisfied with the clinical progress achieved through laser treatment (Figures 2 and 3).
case_images: Following two PDL treatments, a significant and sustained improvement has been observed in both thumbnails and periungual skin.
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case_images: Throughout the treatment process, the patient and her mother were highly satisfied with the clinical progress achieved through laser treatment (Figures 2 and 3).
case_images: After undergoing three PDL treatments, the previously dystrophic thumbnails have tremendously improved. However, signs of onychotillomania were noticed, including small erosions with bloody crusts on the proximal nail folds.
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case_images: This could suggest that the patient still occasionally pulls at her nails (Figure 4).
case_images: At the ten-month follow-up after completing four PDL treatments, the previously dystrophic thumbnails had been entirely resolved and did not reappear.
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case_images: Although there are still some small scaly patches on the proximal nail fold and periungual skin, the indicators of onychotillomania are less noticeable than they were previously. (Figure 5).