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In the case of lateral nail fold involvement, an increase in the HIA found to be the only factor. A lower medial longitudinal arch seems to be a predisposing factor in developing an ingrown toenail. The lateral nail fold involvement was associated with lateral deviation of the distal phalanx. The result of this study could provide information on prevention, treatment, recurrence, and patient counseling of an ingrown toenail in otherwise young and healthy individuals. A lower medial longitudinal arch seems to be a predisposing factor in d