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. 2023 May-Jun;68(3):342-344.
doi: 10.4103/ijd.ijd_533_22.

Subungual Hyperkeratosis as a Dermoscopic Clue of Primary Fingernail Mycobacterium Marinum Infections

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Subungual Hyperkeratosis as a Dermoscopic Clue of Primary Fingernail Mycobacterium Marinum Infections

Muqiu Zhang et al. Indian J Dermatol. 2023 May-Jun.
No abstract available

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Clinical and dermoscopic findings of the patient infected with Mycobacterium marinum. (a) Multiple disseminated, erythematous, fluctuant nodules distributed in a sporotrichoid pattern on the right upper extremity. (b) Dermoscopic image showing onycholysis, subungual orangish hyperkeratosis surrounded by white scales and fissures of the right index fingernail. (c) After four months, the lesions of the arm were almost healed, leaving residual dark erythema. (d) Advancement of the newly growing nail was observed
Figure 2
Figure 2
Skin biopsy from the proximal forearm. (a) Chronic suppurative inflammation infiltrated with abscess formation. (b) Gomori methenamine silver staining revealed bacilliform substances (arrow, original magnification ×400). (c) Ziehl–Neelsen staining revealed acid-fast bacilli (arrow, original magnification ×400)
Figure 3
Figure 3
Pus culture and Ziehl–Neelsen staining. (a) Culture showed smooth, cream-yellow colonies (Lowenstein–Jensen media, 30°C, two weeks), which was confirmed as M. marinum by PCR-sequence (GenBank Number: OM649761). (b) Ziehl–Neelsen staining of a colony revealed acid-fast bacilli (original magnification ×1000)

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