Onychomycosis (overview) Images
Go to article Onychomycosis (overview)![Tinea unguium: distalsubung... Tinea unguium: distalsubungual onychomycosis. strong, yellowish-white discoloration of the nail m...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzAwL2ZjMGRmOTVkLWVkYjEtNGI3Zi1iODIwLWVjOWU0ZTFkODhmMy8zOTY5MDQuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=63df2e842dc8804b)
Tinea unguium: distalsubungual onychomycosis. strong, yellowish-white discoloration of the nail matrix of the left big toe in a 57-year-old man. the nail matrix is affected to about 70%. secondary findings are interdigital mycosis and recurrent erysipelas of the left foot.
![Tinea unguium: distalsubung... Tinea unguium: distalsubungual discoloration in fungal infection; the nail matrix is crumbled und...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzE0LzMyLzE2L2E4MGUxZmFjLWZiMjctNDNlYi05NzVjLWIzNTBiYmJkNmZlNi8xNzIyMjk1LmpwZyJdLFsicCIsInRodW1iIiwiMjAweDIwMCMiXSxbInAiLCJibHVyZWQiLDIwXSxbInAiLCJlbmNvZGUiLCJqcGciXSxbInAiLCJqcGVnb3B0aW0iXV0/file.jpg?sha=e1d59532e3c6a138)
Tinea unguium: distalsubungual discoloration in fungal infection; the nail matrix is crumbled under the surface and can be easily removed with a cleaning instrument.
![Tinea unguium: distal, yell... Tinea unguium: distal, yellow-brown subungual discoloration with dystrophy of the nail in a 68-ye...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzA3LzA1ZmQwM2EyLWMwNDctNDA3OC1hMmVjLTRhYTA4ZDAyZTc2Yy8zOTY5MDYuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=6acf4d696936bc50)
Tinea unguium: distal, yellow-brown subungual discoloration with dystrophy of the nail in a 68-year-old diabetic; positive fungal culture.
![Distal onychomycosis with c... Distal onychomycosis with crumbly destruction of the nail matrix; discrete, aphlegmatic tinea of ...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzE0LzMyLzE4L2JiYzA5YTgzLTQ2NzMtNDI3My1hNDUxLWYxOGUzZDlmOTliMi8xNzIyMjk2LmpwZyJdLFsicCIsInRodW1iIiwiMjAweDIwMCMiXSxbInAiLCJibHVyZWQiLDIwXSxbInAiLCJlbmNvZGUiLCJqcGciXSxbInAiLCJqcGVnb3B0aW0iXV0/file.jpg?sha=4731304fe3f5bd53)
Distal onychomycosis with crumbly destruction of the nail matrix; discrete, aphlegmatic tinea of the finger skin with slight scaling.
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIzLzAxLzA1LzEwLzAyLzAyLzIzNmM3ZmY2LTg4YmUtNDRhZS1hYjg2LTlhNTI1N2YxMGQ4Yy9PbnljaG9teWtvc2UuSlBHIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=2b3aa31a562857d6)
![Tinea unguium. brown-yellow... Tinea unguium. brown-yellow striped lateral nail dystrophy on the index and ring finger. cultural...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzEzLzJlNWRlODZiLTg0Y2ItNDFjZS1iMjI1LTBlM2VmNzllNjE1MS8zOTY5MTAuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=a6bd0f348d505e16)
Tinea unguium. brown-yellow striped lateral nail dystrophy on the index and ring finger. cultural evidence of Trichophyton rubrum and mould species.
![Tinea unguium: this total d... Tinea unguium: this total dystrophic onychomycosis has been present in the 42-year-old patient fo...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzE2LzE0LzE2LzFkN2ExNjVhLWI3Y2ItNDZiMC1iYzA0LTZjOWJjNmUwZjU0Yy8xNzI1NTU4LmpwZyJdLFsicCIsInRodW1iIiwiMjAweDIwMCMiXSxbInAiLCJibHVyZWQiLDIwXSxbInAiLCJlbmNvZGUiLCJqcGciXSxbInAiLCJqcGVnb3B0aW0iXV0/file.jpg?sha=2103461c3d1f70e4)
Tinea unguium: this total dystrophic onychomycosis has been present in the 42-year-old patient for a long time. Known HIV infection
![Tinea unguium: Distal onych... Tinea unguium: Distal onychomyksoe with striped yellow-brown nail dystrophy; chronic non-painful ...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzI4L2Y4OTRhNzRlLWI0ZTQtNDUwYi1iMzgzLTVhMTc1NDY5M2UxOC8zOTY5MTEuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=4425419013b55325)
Tinea unguium: Distal onychomyksoe with striped yellow-brown nail dystrophy; chronic non-painful paronychia with laterally distended terminal phalanx.
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIyLzEwLzA2LzExLzMwLzA5LzNhYWIxYjdlLWVjNDYtNDAxYS1hZWQ5LWMxNDgwN2RhNDZiNi9UaW5lYSB1bmd1aXVtIC5qcGciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=1bb40eda8b7426c1)
![Tinea unguium; distal subun... Tinea unguium; distal subungual type of onychomycosis; starting from the hyponychium there is a s...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzA4LzMzZTc5Zjg2LWU3ZGQtNDQwNS05MTFjLTllZDhhMTQxZWE0MC8zOTY5MDcuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=0c51ea2543165752)
Tinea unguium; distal subungual type of onychomycosis; starting from the hyponychium there is a striated yellow discoloration of the nail matrix; the matrix is crumbly destroyed.
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIzLzAxLzI1LzEwLzA4LzQxLzRkNmY0Mzk2LTVmYjAtNGZjOS1hNGJmLTdhM2MzYmZhMmI0My9PbmNob21reW9zZS5qcGciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=06e9192ad6155ceb)
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIzLzAxLzA1LzEwLzAyLzAxL2RhOTZhYWU5LWM3MGItNDNmYi04NWZhLTUyMzIxZGQ1ZjY0Ni9PbnljaG9teWtvc2UgMS5KUEciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=dd24b3fff7454351)
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIxLzAxLzE2LzE5LzIwLzQ3LzZlMThkYWE3LWVkMTUtNDU2NS1hZmNhLWU4YWE1MmM1YjFmZi9OYWdlbHBpbHpBdWZsaWNodC5KUEciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=ce3b910063cb8d7d)
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIzLzAxLzI1LzEwLzM5LzA4L2M0MTI2OTEyLWZkNGUtNDY0NS04YjE4LTRhMGNkNTY2MzcxMS9PbnljaG9teWtvc2UuSlBHIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=1bbc5e321eda50d1)
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIzLzAxLzI1LzExLzE5LzM0LzI1MGJhMjg1LWJjNjctNDk1OC1hY2JlLTRkNDllMDFjN2ZlOC9PbnljaG9teWtvc2UgMS5KUEciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=a3d13644b76e3d24)
![tinea unguium: black dyschr... tinea unguium: black dyschromia of the nail plate localized at the left big toe of a 52-year-old ...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzE0LzMyLzE1LzQwZmU4ODJlLWMwZTctNDAxNC04ZmVhLTliYzljNzI3ZDVlYS8xNzIyMjk0LmpwZyJdLFsicCIsInRodW1iIiwiMjAweDIwMCMiXSxbInAiLCJibHVyZWQiLDIwXSxbInAiLCJlbmNvZGUiLCJqcGciXSxbInAiLCJqcGVnb3B0aW0iXV0/file.jpg?sha=a5bc2c49bb132c24)
tinea unguium: black dyschromia of the nail plate localized at the left big toe of a 52-year-old man, increasing for more than one year. border zone to the healthy nail plate marked proximally by a horizontal arrow. cuticle not discolored (vertical arrows: speaks against a melanocytic tumor). nail plate itself is discolored (see anterior incision margin marked by a star). Trichophyton rubrum and Aspergillus spp. have been culturally proven.
![Tinea unguium:black dyschro... Tinea unguium:black dyschromia of the nail plate localizedonthe right big toe of a 42-year-old ma...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzEyLzA4LzA4LzM2LzQxLzlhODJmZjNmLTQxMDgtNDNiYi1iODQyLTUyMzI4ZjEyMTM2OS9PbnljaG9teWtvc2UuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=ef9dcc77f47d4f60)
Tinea unguium:black dyschromia of the nail plate localizedonthe right big toe of a 42-year-old man, increasing for more than one year. nail plate normally colored proximally. nail plate itself is discolored (see anterior incision margin). Aspergillus spp.
![Tinea unguium (incident lig... Tinea unguium (incident light microscopy): black dyschromia of the nail plate localized at the ri...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzEyLzA4LzA4LzM2LzQxLzQzNWRjMDJhLWU5NjgtNDhmZC05YThhLWFlOTEwNTQ3ODE0Ny9PbnljaG9teWtvc3NlIDMuMCBBdWZsaWNodC5qcGciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=4122468c6ecd71d7)
Tinea unguium (incident light microscopy): black dyschromia of the nail plate localized at the right big toe of a 42-year-old man, which has been increasing for more than one year; incident light microscopy reveals a green coloration in the marginal area of the nail dyschromia (this color tone speaks against a melanotic coloration).
![Onychomycosis: Onychomycosi... Onychomycosis: Onychomycosis of the entire big toe nail (see whitish, crumbly nail matrix marked ...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIwLzA0LzEyLzEwLzA5LzIyLzRlZjQwMmFiLTRiM2QtNDdkZC1hNzA5LWJhYzBkNjFkMjVjYS9vbnljaG9teWtvc2UgKyBNZWxhIG5vbnljaGlhZS5qcGciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=5d92f586f14d2074)
Onychomycosis: Onychomycosis of the entire big toe nail (see whitish, crumbly nail matrix marked by a square) in Melonychia striata; the striated black colour of the nail matrix runs through the entire nail to the nail root.
![Tinea unguium. dystrophic o... Tinea unguium. dystrophic onychomycosis. colorful, not painful nail discoloration (yellow-blue-gr...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzExL2I1NjZjYjBkLTQ2ZGUtNGNhNS1iM2U5LTAwMTdkZGRmZGU3OC8zOTY5MDkuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=5f048ad21ffed921)
Tinea unguium. dystrophic onychomycosis. colorful, not painful nail discoloration (yellow-blue-green) with nail thickening. part of the nail discoloration is apparently caused by bleeding. Tr. rubrum and molds (Alternaria spp.) have been detected culturally.
![Tinea unguium. in the dista... Tinea unguium. in the distal part of the nail matrix a large-area, colorful, not painful nail dis...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzEwL2FlODgyOTQ0LWI5OGMtNDFiYS1iYmE1LTQzZmU3N2M4ZTlhMi8zOTY5MDguanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=260aacb402063bf9)
Tinea unguium. in the distal part of the nail matrix a large-area, colorful, not painful nail discoloration (yellow-blue-green) is visible. total dystrophy of the big toe nail.
![Tinea unguium with extensiv... Tinea unguium with extensive, older traumatic bleeding into the nail matrix.](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzQyL2NjMmY4MzcyLTEyYWMtNGRhMy1iOGQ3LThkMWIyMzhhNzE3MC8zOTY5MTMuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=b4b19d42fb181154)
Tinea unguium with extensive, older traumatic bleeding into the nail matrix.
![tinea unguium with extensiv... tinea unguium with extensive, older traumatic bleeding into the nail matrix. encircles the mycoti...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzE1LzU1LzE3L2Q3MTlmZDc4LTE4M2UtNGQzZi04N2RlLTc4NDBjMmZkMjNkMS8xNzI0Mjk0LmpwZyJdLFsicCIsInRodW1iIiwiMjAweDIwMCMiXSxbInAiLCJibHVyZWQiLDIwXSxbInAiLCJlbmNvZGUiLCJqcGciXSxbInAiLCJqcGVnb3B0aW0iXV0/file.jpg?sha=469a727b28fb84ee)
tinea unguium with extensive, older traumatic bleeding into the nail matrix. encircles the mycotic affected nail area. marked with arrows, the lower and lateral border of the hematoma. the differential diagnostic important differentiation to a melanoytic tumor results from the missing (streaky) continuity of the nail pigmentation.
![Tinea unguium. distal onych... Tinea unguium. distal onychomycosis with crumbly destruction of the nail matrix. aphlegmatic tine...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzUxL2EzZDlhYjYzLWEyZmQtNDEyMy1iN2UzLTYyMzNjOTYyOGU3Zi8zOTY5MTQuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=a3b7145771ab2784)
Tinea unguium. distal onychomycosis with crumbly destruction of the nail matrix. aphlegmatic tinea of the toe skin with low lichenification and pityriasiform scaling.
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIyLzEwLzA2LzExLzQxLzUzLzg4N2MzYmFiLWNiM2MtNGQ5YS05MzJhLWIzMmE1NzFiOTQzYy9UaW5lYSB1bmdpdW0gcG93ZXIuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=dcf7767870190c93)
![Tinea unguium. on the left ... Tinea unguium. on the left thumb of a 28-year-old man localized yellow-brown to black dyschromas ...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQzLzA1Lzk5NmU4OTVjLTliMzAtNDkyYS1iZTA2LTcwOWQyZDVjMjhjMi8zOTY5MDUuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=6e72602a1c0571fd)
Tinea unguium. on the left thumb of a 28-year-old man localized yellow-brown to black dyschromas of the distal nail plate, increasing for more than one year. onychodystrophy beginning distally. mycologically a mixed infection of Trichophyton rubrum and Aspergillus spp. was detected.
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIxLzAxLzE2LzE5LzIwLzQ3LzkyOWIyNDI0LThmYTYtNDFkMy1iNTRmLWJmMGVlZDAwYTFhYS9OYWdlbHBpbHoyLkpQRyJdLFsicCIsInRodW1iIiwiMjAweDIwMCMiXSxbInAiLCJibHVyZWQiLDIwXSxbInAiLCJlbmNvZGUiLCJqcGciXSxbInAiLCJqcGVnb3B0aW0iXV0/file.jpg?sha=47daeccd74de296b)
![Tinea unguium. years of dis... Tinea unguium. years of distal onychomycosis which has led to an almost complete destruction of t...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQ0LzA5L2Q5ZjBjYjc2LWMzM2ItNDEzZC1hNDQ3LTQ0ZTI0ZDE2ODc4OC8zOTY5MTcuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=242febefa92511af)
Tinea unguium. years of distal onychomycosis which has led to an almost complete destruction of the nails. cultural evidence of a dermatophyte.
![](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDIzLzAxLzMxLzA5LzQ0LzIwL2ZlNmU5OTcyLTJkMmQtNGZlZS1hODViLTNkNDNlM2Q2NWZhZC9PbnljaG9keXN0cm9waGllIDIuMC5KUEciXSxbInAiLCJ0aHVtYiIsIjIwMHgyMDAjIl0sWyJwIiwiYmx1cmVkIiwyMF0sWyJwIiwiZW5jb2RlIiwianBnIl0sWyJwIiwianBlZ29wdGltIl1d/file.jpg?sha=a963b6b8ce60a830)
![Tinea unguium:almost comple... Tinea unguium:almost complete onychodystrophy of all fingernails; patient with insulin-dependent ...](https://cdn.altmeyers.org/media/W1siZiIsImltYWdlcy8yMDE3LzA3LzAxLzExLzQ0LzAxLzQ5ZGE1OTMwLTc0OWMtNGRkNi1iZjI4LTRlMjI2MzA5ZDI5Zi8zOTY5MTYuanBnIl0sWyJwIiwidGh1bWIiLCIyMDB4MjAwIyJdLFsicCIsImJsdXJlZCIsMjBdLFsicCIsImVuY29kZSIsImpwZyJdLFsicCIsImpwZWdvcHRpbSJdXQ/file.jpg?sha=2d3dca6b4cf91876)
Tinea unguium:almost complete onychodystrophy of all fingernails; patient with insulin-dependent diabetes mellitus
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