Dermatology Oasis

Editor: Nameer Al-Sudany, MD (IRAQ)


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A 36-year-old house-wife woman presented with an asymptomatic, cosmetically-disfiguring nail discoloration involved all fingernails of many years duration. On examination: yellowish greenish nails’ discoloration particularely at the lateral borders and the base of the nail plates, paronychia and longtudinal split of the middle fingernail of the right hand. Nail clippings with KOH mounting showed fungal hyphae and spores and short budded hyphae and culture on Sabouraud’s agar yielded growth of both Candida albicans and Trichophyton rubrum. A prolonged course of  oral Terbinafine (Lamisil) 250 mg single oral daily dose for 4 months gave good result.

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