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candidiasis?

Discussion in 'General Issues and Discussion Forum' started by kate limb, Dec 3, 2010.

  1. kate limb

    kate limb Member


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    I had a patient referred back from the Locum Consultant dermatologist with ‘candidal nail infection and pincer nails’, neither of which seems accurate. She has had ditraconazole,itraconazole,tioconazole,flucloxacillin,amoxicillin,terbinafine cream/tablets,potassium permanganate soaks,oxytetracycline,clotrimazole cream,lymecycline tablets, co-amoxiclav. Latterly the patient reports that itraconazole dried up the area but the red rash persists. I therefore wonder if it is another skin condition secondarily infected – The right 234 toes and the left 3rd toe and both 1st toes have red slightly raised delineated slightly scaled areas which are cool and in only 2 toes are they periungual where the slight fluid exuding is clear and the nails in conjunction atrophic. This has been going on for 3 years in total. Any suggestions or could anyone give details of the dermatology symptom book which allows you to check the possible diagnosis by following back from the presentation? Many thanks Kate
     
  2. Jose Antonio Teatino

    Jose Antonio Teatino Well-Known Member

    Dear Colleague:
    Look what is observed with the light of Wood?
    Kind regards:

    Jose Antonio Teatino
    Licenciado en Podología
    Profesor de cirugía
    The Academy Ambulatory Foot & Ankle Surgery
     
  3. kate limb

    kate limb Member

    thanks for that kate
     
  4. Ian Drakard

    Ian Drakard Active Member

    Any chance of some pictures? Would help a lot
    Ian
     
  5. kate limb

    kate limb Member

    Hi - would love to do that but no digital camera at work unless I ask the patient to bring hers in to avoid issues around storage of images etc K
     

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