Case Report: Treatment of trachyonychia in children with crisaborole: a retrospective case series - Takeaways - MDSpire

Case Report: Treatment of trachyonychia in children with crisaborole: a retrospective case series

  • By

  • Xue Wang

  • Keying Li

  • Yuanxiang Liu

  • Rui He

  • Yujuan Sun

  • Zigang Xu

  • Bin Zhang

  • July 15, 2026

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  • 1

    Trachyonychia is a chronic nail disorder in children aged 3–12, characterized by nail plate roughness and longitudinal ridging.

  • 2

    Crisaborole, a nonsteroidal PDE4 inhibitor, was applied topically to 13 children diagnosed with trachyonychia in a retrospective study.

  • 3

    At 6 weeks, 82.1% of nails showed significant improvement, with 43.2% achieving complete remission.

  • 4

    At 12 weeks, 48.5% of nails maintained complete remission, and no severe adverse events were reported.

  • 5

    The study suggests that crisaborole is effective and well-tolerated for treating pediatric trachyonychia.

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