a 9 years boy developed this nail color change. it started slowly 2 years back.. now extended to toes also... what could be the possible diagnosis n suggest trail of treatment

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Onychomycosis

Knuckle black staining commonly seen in Vitamin B12 deficiency but may be poor hygiene. Nails are for onychomycosis. Do vitamin B12 level if deficiency treat it for

? Vitamin.B-12 deficiency ? Onychomycosis

Onychomycosis

VitaminB12 defficiecy? Onychomycosis?

Trachyonychia or Twenty-Nail Dystrophy

Investigation cbc esr lft kft D/D onycomycosis B12 deficiency Addison disease Melanoma

Tinea unguum

Oncomycosis

Addisons disease. Do blood cortisol and aldosterone level

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