Pigmented Onychomycosis (Fungal Melanonychia)

Jul 8, 2017 by in Dermatology Comments Off on Pigmented Onychomycosis (Fungal Melanonychia)

Fig. 9.1 Fungal melanonychia Fungal melanonychia is an infrequent complication of onychomycosis [1]. Onychomycosis is the invasion of nails by fungi, regardless of its individual causative agents. Fungal melanonychia is…

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White Superficial Onychomycosis

Jul 8, 2017 by in Dermatology Comments Off on White Superficial Onychomycosis

Fig. 4.1 SWO schematic drawing showing fungal invasion of the dorsal nail plate Fig. 4.2 SWO dermoscopy shows that the superficial nail plate is affected Epidemiology Onychomycosis generally affects men…

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Mimickers

Jul 8, 2017 by in Dermatology Comments Off on Mimickers

Subungual hyperkeratosis and onycholysis Psoriasis Contact dermatitis Nail bed lichen planus Onycholysis Traumas Yellow nail syndrome Nail bed tumors (warts, exostosis, squamous cell carcinoma, melanoma) Subungual hyperkeratosis Pachyonychia congenita Nail…

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Distal Subungual Onychomycosis

Jul 8, 2017 by in Dermatology Comments Off on Distal Subungual Onychomycosis

Fig. 3.1 This schematic illustrates the progression of fungal infection in DLSO, specifically how the fungus gains access to the nail bed via the hyponychium Although not life threatening, these…

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Proximal Subungual Onychomycosis

Jul 8, 2017 by in Dermatology Comments Off on Proximal Subungual Onychomycosis

Fig. 5.1 Illustration of the classically described mechanism of pathogenesis in PSO. There is invasion of the proximal nail fold and nail matrix by fungi More recently, alternative routes of…

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Direct Microscopy and Culture: What You Need to Know

Jul 8, 2017 by in Dermatology Comments Off on Direct Microscopy and Culture: What You Need to Know

Fig. 10.1 Direct examination in nail clipping (chlorazol black 40Ă—) Long or septate filaments and arthrospores are observed under the microscope. In dermatophytic infection, a dermatophytoma can be found, this…

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Dermoscopy

Jul 8, 2017 by in Dermatology Comments Off on Dermoscopy

Fig. 13.1 Jagged proximal edge with spikes of the onycholytic area: spiked pattern, indentations at the proximal edge of the area with onycholysis Fig. 13.2 Longitudinal striae. Longitudinal striae of…

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Predisposing Factors for Onychomycosis

Jul 8, 2017 by in Dermatology Comments Off on Predisposing Factors for Onychomycosis

Fig. 2.1 Distal lateral subungual onychomycosis due to T. rubrum in two sisters Several studies have identified a possible role of HLA in the immune response of T cells to…

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Onychomycosis: Role of Histopathology

Jul 8, 2017 by in Dermatology Comments Off on Onychomycosis: Role of Histopathology

Fig. 12.1 Longitudinal nail biopsy of an onychomycotic nail. The nail plate of the matrix and proximal nail bed is dystrophic showing an irregular, fragmented, and lifted surface with mounds…

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