HIV Infection Manifesting as Proximal White Onychomycosis

A 48-year-old-man presented with whitish discoloration and hyperkeratosis of the toenail that had extended quickly from the proximal to the distal nail fold. This atypical presentation of onychomycosis prompted investigation for underlying immunosuppression.

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Bibliographic Details
Published inThe New England journal of medicine Vol. 377; no. 18; p. e26
Main Authors Gómez-Moyano, Elisabeth, Crespo-Erchiga, Vicente
Format Journal Article
LanguageEnglish
Published United States Massachusetts Medical Society 02.11.2017
Subjects
AIDS-Related Opportunistic Infections - microbiology
Antiretroviral drugs
Case reports
Foot Dermatoses - etiology
Fungal infections
HIV
HIV Infections - complications
HIV Infections - diagnosis
Human immunodeficiency virus
Humans
Immunosuppression
Male
Medical diagnosis
Middle Aged
Nails - microbiology
Onychomycosis
Onychomycosis - etiology
Toenail
Trichophyton - isolation & purification
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Summary:A 48-year-old-man presented with whitish discoloration and hyperkeratosis of the toenail that had extended quickly from the proximal to the distal nail fold. This atypical presentation of onychomycosis prompted investigation for underlying immunosuppression.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1703082