Summary

This article presents a case study of a 78-year-old diabetic patient with a decade-long history of abnormal nail growth and deformity, known in the literature as “ram’s horn” or onychogryphosis. We highlight both the diagnostic and therapeutic challenges involved in this particular condition. The discussion will mention prevalence, etiological factors, and diverse manifestations characterizing congenital and acquired variants of onychogryphosis. The emphasis lies in conservative management, underscored by the necessity of meticulous care and a comprehensive commitment from the patient.