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Onychomycosis and Onychomatricoma
Penelope Kallis1, Antonella Tosti1
1Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Fla., USA.
Skin Appendage Disorders
|July 8, 2016
Summary
Nail dermoscopy aids in diagnosing nail conditions. This study highlights onychomatricoma cases with coexisting onychomycosis, identified by distinct dermoscopic features on the nail plate and free edge.
Area of Science:
- Dermatology
- Medical Mycology
Background:
- Nail dermoscopy is a valuable tool for diagnosing various nail disorders.
- Onychomatricoma and onychomycosis are common nail conditions that can coexist.
- Tumor-induced nail changes can predispose to secondary infections.
Purpose of the Study:
- To report two cases of onychomatricoma with concurrent onychomycosis.
- To illustrate the distinct dermoscopic findings differentiating these two conditions in the same digit.
- To emphasize the clinical significance of recognizing this common co-occurrence.
Main Methods:
- Case report of two patients with concurrent onychomatricoma and onychomycosis.
- Dermoscopic examination of the nail plate and distal free edge in both cases.
- Histopathological correlation was performed.
Main Results:
- Dermoscopy of the nail plate revealed characteristic features of onychomatricoma.
- Dermoscopy of the distal free edge showed distinct features indicative of onychomycosis.
- Both patients were treated successfully for the fungal infection.
Conclusions:
- Onychomatricoma can frequently coexist with onychomycosis.
- Dermoscopy is crucial for differentiating these conditions, showing specific features in different nail areas.
- Prompt diagnosis and treatment of onychomycosis in onychomatricoma patients are recommended.
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