This is a case report of a seven-year-old female who presented with a congenital anomaly of the little finger in which the nailplate was circumferentially covering the tip of the distal phalanx. There was a well-developed eponychial fold on the palmar aspect of the digit. This rare congenital ‘clam nail deformity’ may be the result of an insult to the zone of polarizing activity occurring late in the embryological development.
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