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Living with Leukonychia totalis-acanthosis-nigricans-like lesions-abnormal hair syndrome

A rare inherited condition with white nails, dark thick skin patches, and dry, brittle hair.

Understanding Leukonychia totalis-acanthosis-nigricans-like lesions-abnormal hair syndrome

Leukonychia totalis-acanthosis-nigricans-like lesions-abnormal hair syndrome is a rare inherited condition of the nails, skin, and hair.

People have completely white nails and patches of darkened, thickened skin on the neck, armpits, and belly area. The hair is dry and brittle, with twists and furrows. It begins in newborns and infants.

Signs & symptoms

GARD doesn't list a symptom list for this condition. Its summary describes these features:

  • Completely white nails (leukonychia totalis)
  • Dark, thick skin patches (acanthosis-nigricans-like)
  • Dry, brittle hair
  • Twisted hair with furrows

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing help identify the gene?
How should I care for my skin and hair?
Which dermatology specialists should I see?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

It is inherited in an autosomal dominant way, which means one changed copy of a gene is enough. GARD does not name a gene.

GeneticSkin

Also known as: leukonychia totalis, acanthosis-nigricans-like lesions, abnormal hair syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Leukonychia totalis-acanthosis-nigricans-like lesions-abnormal hair syndromeGARD ID 20448 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Leukonychia totalis-acanthosis-nigricans-like lesions-abnormal hair syndrome.

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