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Image Number 185 (Tinea unguium)

Nail dystrophy

Diagnosis: Tinea unguium

Site: Nails

Sex: M

Age: 56

Type: Clinical

Description: White fungus on the surface of the nail

Submitted by: Ian McColl

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Differential Diagnosis

History: A white fungus on the surface of the nail like this is usually due to Trichophyton Mentagrophytes.It can be scraped off with a blade revealing normal nail underneath.This is one of the few examples of a fungal nail infection where topical therapy may clear it.Usually tinea unguium requires oral therapy such as Griseofulvin or Lamasil for at least 3 months.

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