Solve exciting clinical cases specific to your field of interest via Docplexus’ Clinical Case Challenge. In this ‘Dermatology Case Challenge’, join your fellow doctors to discuss and answer today’s question regarding diagnosis of this case. A 40-year-old housewife comes to you with complaint of recurrent episodes of redness, swelling, and pain around her finger nails for two years. She was previously diagnosed with "grey nail" and treated with griseofulvin for six months but the treatment was not effective. The patient has mild diabetes mellitus and currently requires only dietary restriction.
Physical examination: Dry and crazed finger skin, lusterless, discolored, pigmented nail plate surface with irregular furrows. The proximal and lateral nail folds are erythematous, edematous and mildly tender, and nail cuticles are absent. Image of an affected thumb nail attached. Source – Online…