Fungal Nail Disease

  • De Berker D
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A 68-year-old man reports changes in his left big toenail. It has been discolored dis-tally for the past 2 years. It has become thickened and difficult to cut and is painful when the man is walking in certain shoes. He is otherwise well. On physical examina-tion, the nail appears thickened, has crumbling yellow material beneath, and is more discolored distally than proximally. The nearby skin is normal, although the inter-digital space of the little toe is macerated. How should his case be managed? The Clinic a l Problem

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  • David De Berker

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