# Onychogryphosis

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: An Overview of the Skin and Appendages - Clinical Methods - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK206/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class SD99.05 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care

## Treatment metadata

- No drug therapy in primary care (Referral & Advice)

## Complete treatment card

```text
ONYCHOGRYPHOSIS
Sources: An Overview of the Skin and Appendages - Clinical Methods - NCBI Bookshelf -
         https://www.ncbi.nlm.nih.gov/books/NBK206/ · ICPC-3 (WONCA International Classification of
         Primary Care, 3rd edition) class SD99.05 - condition scope only, no dose · No dose -
         referral pathway, no medicine given in primary care
Review status: REVIEWED against the source listed above  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)    [1st line]
   Adult    A thickened, curved 'ram's horn' nail seen mostly in elderly or neglected feet; managed
            by mechanical debridement or podiatry rather than medication. - Refer, with advice
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      A thickened, curved 'ram's horn' nail seen mostly in elderly or neglected feet; managed
            by mechanical debridement or podiatry rather than medication.
   Caution  Underlying diabetic foot disease or peripheral vascular disease increases infection risk
            with nail trauma.
            No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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