A female patient, 18 years old, presented with painful blackish discoloration of nails for 5 months, no history of any trauma. The patient is taking Terbinafine and Fluconazole, but symptoms have not improved. What could be the differentials?
If you can post a picture, then discussion will be more precise. Also it is toe nails or finger nails?
Dioes she has any co-morbidity - cardiac or Metabolic?
There are many causes but to start with simple one first is always better like a constant pressure on that nail if it only on some specific nails,
Anemia can lead to but that is usually painless
Fungal Infections are common
Melanoma can and it progresses slowly so look for associated signs & symptoms which may not be there in early stages.
Does she has
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