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Clinical Medical Image Library

Talc, over the Nails

Shilpa Y Krishnegowda and Sudhir Kumar N*

Adichunchanagiri Institute of Medical Sciences, B G Nagar, Karnataka, India

*Corresponding author: Sudhir Kumar, Department of Dermatology, Adichunchanagiri Institute of Medical Sciences, B G Nagar, Karnataka, India, E-mail:
Clin Med Img Lib, CMIL-1-010, (Volume 1, Issue 1); ISSN: 2474-3682
Published Date: September 21, 2015
Citation: Krishnegowda SY, Sudhir KN (2015) Talc, over the Nails. Clin Med Img Lib 1:010
Copyright: © 2015 Krishnegowda SY. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Figure 1: Superficial white onychomycosis - superficial, opaque, talc - like white patches is seen over the nail plates.

A 40-year-old male was referred for evaluation of nail changes present since 2 years. The patient had a 10 - year history of HIV infection and was on antiretroviral therapy. Examination revealed superficial, friable, opaque, powdery (talc-like) white patches over the nail plates of all toes. Direct microscopy with 10% KOH of scrapings from the dorsal nail plate showed translucent, septate hyphae. The patient was started on itraconazole pulse therapy. White superficial onychomycosis is a less common presentation of onychomycosis, usually attributed to immune compromised states. In the one - year of follow up, no improvement was noted (Figure 1).

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