62yr/female Patient having skin fissures on tip of finger black discoloration of nail Painful on tip of skin Koilonychia No history of trauma No hypertension,dm CBC S.ferritin level S.tsh Everything is normal Kindly give ur valuable opinion N differential diagnosis

3 Likes

LikeAnswersShare

? ONYCHOMYCOSIS WITH.. PARONYCHIA .. AND .. ASSOCIATED NAIL CHANGES..

? Vasculitis or ? Tinea unguium

Kindly check blood sugars Even if no history of diabetes

Hba1c is 5.9
0

View 1 other reply

Onychomycosis ,with chronic candidial paronychia Oral and topical antifungals.

Thank you doctor
0

Kolinaechia is suggestive of under nutrition iron deficiency anaemia you said sr ferritin is normal that means saturation index looks to be not 15% Adv TIBC and free iron Discoloration and periungal swelling needs to examine the other system Spo2 and r/o chf Cracks on tip of toes suggest ppkd

Thank you doctor
0

View 1 other reply

Fungal infection to rule out.

Thank you doctor
0

Chronic fungal infection - Onychomycosis + Paronychia

Thank you doctor
0

Chronic paronychia.involvement of the nail with inflammation at the nail bed.mostly of fungal aetiology.oral Itraconazole and topical application of luliconazole is advisable.

Thank you doctor
0

Skin fissures at 2nd and 3rd toes Rule out iron deficiency anemia

Already done reports r completly normal
0

Cases that would interest you