What is the treatment for moles under the nails?

Question

Hello doctor,

I have moles under the nails of each of my big toes. They appeared over the last months, but I do not remember exactly when. The one on my left toe is a round dot in addition to a diagonal line next to it and that goes to the right edge of my nail, while the one on my right toe is just a round dot. The nails themselves are also somewhat cracked and do not look good. I am wondering if there could be cause for concern. I am sending a photo of my toe. Please help me.

Answer 1

Hi,

Welcome to icliniq.com.

Is there any pain?

Any change in placement noticed as the nail grows?

Please answer the above questions.

Answer 2

Hi,

Welcome back to icliniq.com.

At this stage nothing is needed (attachment removed to protect patient identity). First of all you need to differentiate nevus with a similar entity of hematoma. So, mark the outer edge of that black area of the nail with a shaving blade and observe it for a few weeks. If the marked outer edge has moved beyond the outer edge of the black area, then it is nevus, otherwise it is a hematoma. The principle is as nail grows hematoma will also move with it, but nevus will remain in the same position.

Secondly, you are suffering from onychomycosis. I suggest you to apply Amorolfine nail lacquer three times in a week. Also, I suggest capsule Sporanox (Itraconazole) 100 mg twice daily for consecutive seven days in a month for three months. Consult your specialist doctor, discuss with him or her and take the medicine with their consent. This is known as pulse dosing, taking medicine for 7 days and then a medicine free period of 21 days in a month.

I hope this will help you.