A Tale of Tortured Toes

We give you fair warning: These toes may be alarming! Can you pair each one with its rightful diagnosis?

For discussion, go to www.mdedge.com/clinicianreviews/picture

Answers to February “Picture This” (Clinician Reviews. 2018;28[2]:33): 1c, 2d, 3b, 4a

Question 1 of 4

This 48-year-old man mentions that eight of his 10 toenails are yellowed and thickened, with multiple focal areas of breakage on the ends of the nail plates. No changes are noted on his fingernails. The surrounding skin on his feet and hands is within normal limits, except for a rim of faint scaling around the periphery of both feet. The latter is KOH positive for fungal elements.

This 48-year-old man mentions that eight of his 10 toenails are yellowed and thickened, with multiple focal areas of breakage on the ends of the nail plates. No changes are noted on his fingernails. The surrounding skin on his feet and hands is within normal limits, except for a rim of faint scaling around the periphery of both feet. The latter is KOH positive for fungal elements image

Match the diagnosis to the photo by letter

Blistering distal dactylitis

Onychomycosis

Pincer nail

Hammertoe deformity

Clinician Reviews. 2018 March;28(3):35

This quiz is not accredited for CME.

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