Proximal White Onychomycosis in an Immunocompetent Patient: A Case Report

• 作者: Brian M. Schmidt Crystal Holmes
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: PROXIMAL ONYCHOMYCOSIS NAIL FUNGUS Onychcomycosis
• 年，卷（期）: lcyxblbgyw_2015,（1）
• 页码范围: 41-44
• 页数: 4页
• 分类号: R5

摘要

Objective: Onychomycosis is a diagnosis of fungal organisms in the nail unit. It frequently occurs in both the immunocompetent and immunocompromised patient. A variant of onychomycosis is proxiaml onychomycosis that occurs on the most proximal aspect of the nail. Proximal onychomycosis is known to be commonly associated with immunocompromised status. Study Design: A case report of a veteran who presented a dermatology clinic with complaint of solitary nail discoloration that was recalcitrant to over-the-counter therapy including topical hydrogen peroxide and foot soaks without improvement. Results and Conclusions: This individual case report demonstrates that pedal proximal onychomycosis can be associated with non-dermatophyte organisms, identified as Fusarium species, in immunocompetent individuals. The finding of pedal proximal onychomycosis caused by a Fusarium non-dermatophytic mold has not been reported. The veteran was successfully cured of the condition with treatment via oral terbinafine for a ninety-day course while monitoring patient’s liver function test for any complications.