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Contributor

Mehrdad Mehravaran, MD

Diagnosis

onychomycosis tinea pedis

Body Site

foot nail, foot

Age

67 years

Pigmentation

Organization

confluent

Color

red

Morphology

papulosquamous (bump, scale)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

A 66-year-old woman with poor peripheral circulation complained of yellow scaly nails and progressive scaly red patches on the bottom and sides of both feet. She was treated successfully with oral terbinafine 250 mg tablet daily for 3 months. Tinea Unguium (Onychomycosis) is mycotic infection of the nail unit. The term tinea unguium is used to describe infection by dermatophytes; the term onychomycosis is nonspecific and refers to nondermatophytes and dermatophytes infections of the nail unit. Tinea unguium is generally caused by members in the genera Trichophyton and Epidermophyton and is most common in adults. T. Rubrum causes the majority of infection.

Description

confluent red scaly plaque with well demarcated border and friable yellow nails with subungual scale

Categories

infections and infestations nail disorders

Image Added

5/29/2006 22:09:30

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Other Resources

PubMed Medline Plus Medscape

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