IntroductionSubungual onycholemmal cysts (SOC) also known as subungual epidermoid inclusion cyst is an uncommon nail abnormality which affect the dermis of the nail bed. SOC has variable clinical presentations include onychodystrophy, ridging, clubbing, thickening, pigmentation or even appears normal (1). It can also mimic different nail malignancy such as melanoma, SCC or glomus tumor (2). In this report we document a case of unilateral second right finger nail onychodystrophy in 54-year-old man.