A 35-year-old female Central Africa Republican refugee with an uneventful medical and family past histories presented to a hospital with a 3-year history of a progressive painful outgrowth of the five nails of the left hand.

Onychogryphosis is a dermatological disease characterized by hypertrophy, opaque or yellow-brown thickening, gross hyperkeratosis, elongation, and excessive curving of the nail plate, especially that of the big toe of the foot. The resultant nail deformity is often termed "ram's horn nail" or "claw-hand" deformity. Affected patients suffer mainly from pain, and cosmetic concerns. This disorder can be acquired or congenital. Herein, we present the case of an usual form of acquired onychogryphosis affecting all the five nail plates of the left hand in a bit to raise awareness of demaytologist and podiatricians on the occurrence of this a typical form for a timely diagnosis and treament, especially in resource-limited settings where this disease is rare or perhatrps under-diagnosed. We also briefly discuss its diagbosis and management.