A 21-year-old woman presented with whitish and desquamated bilateral toe sutures with toenail destruction for five years.Fluorescent fungal microscopy of toe suture and toenail showed bamboo-like hyphae.Pseudomonas aeruginosa was found in the bacterial culture of nail debris of the left hallux;drug sensitivity test showed sensitivity to quinolones,cephalosporins and other antibiotics.Dermatoscopy showed marbled areas under the deck of the left hallux,white longitudinal stripes,serrated edges,and spikes directed proximally,with yellow-green pigment stripes.Diagnosis:tinea pedis,onychomycosis with green nail syndrome.Fungal infections of the superficial epithelium are common in clinical practice,but there are few reports related to tinea pedis and onychomycosis associated with green nails.
关键词
铜绿假单胞菌/绿甲综合征/皮肤镜
Key words
Pseudomonas aeruginosa/Green nail syndrome/Dermoscopy
维普
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