Concluded Case

Onychomycosis with Melanonychia

A 59yr old female with no known comorbidities presents with a lesion on her right thumb nail as shown in the picture. Etiology is unknown, but patient denies any trauma, insect bite or any preceding history. The lesion has remained the same since over 4 months since the time she noticed. She was recently prescribed to apply NAILROX lacquer which contains Ciclopirox solution every alternate day after nail filing. What is the further management? Please give your valuable opinion and guidance.

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Concluded answer
It's ONYCHOMYCOSIS... Remove the Right lateral aspect of the nail completely and cap itraconazole 200 mg for 3 weeks Ciclopirox oleate paint 2 times daily Short course of antibiotics..
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Absolutely lesion seen is onicomycosis with melanonychia
Thanx dr Ramesh Kumar Singh
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Onychomycosis Tab Itraconazole 200mg hs×3months Tab Flucanazole 200mg twice in week×12 Terbenafine ointment topically If not improved, partial nail extraction followed by same treatment until heals completely
I completely agree with you Doctor. Are there chances of complete nail regrowth in that case?
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Oncomycosis Tab Fluconazole 150 once in a week for six months lotion Luliconazole apply locally twice Cap Evion 400 one daily Cap Biotin 10mg one daily
Onchomycosis nail finger palm Nail fungus is a common condition that begins as a white or yellow spot under the tip of your fingernail or toenail. As the fungal infection goes deeper, nail fungus may cause your nail to discolor, thicken and crumble at the edge. ... But even if treatment is successful, nail fungus often comes back.
It's ONYCHOMYCOSIS... Remove the Right lateral aspect of the nail completely and cap itraconazole 200 mg for 3 weeks Ciclopirox oleate paint 2 times daily Short course of antibiotics..
Thank you so much Doctor, she's been taking this treatment since last 2 month. What could be the further management?
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Onychomycosis Multifungin oint locally Tab gresiofulvin FP 2 bd pc for 6 weeks
IT'S A..CASE OF.. ? NAIL FUNGUS.. ? ONYCHOMYCOSIS..
Tnx Dr Shivraj Agarwal sir
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SUGGESTIVE OF ONYCHOMYCOSIS FUNGAL INFECTION
Nail fungal infaction
Onchomycosis
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