How to treat fingernail deformity, cracking, and yellowing?

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

I reviewed the photo you sent (attachment removed to protect patient identity). It seems most likely that you have a fungal nail infection, but I would like to clarify a few things before confirming the diagnosis:

1. How long has this condition been present?
2. Have you experienced any trauma to the nail?
3. Do you have any underlying conditions, such as high blood sugar or other medical issues?
4. Is the affected area painful?

Please respond with these details in the follow-up. If the duration is short and pain is prominent, it could suggest a bacterial infection rather than a fungal one.

Probable causes:

1. Fungal infection (onychomycosis)
2. Bacterial infection
3. Growth abnormalities

Investigations to be done:

1. Glucose tolerance test (GTT) to check for blood sugar issues.
2. KOH test to confirm the presence of a fungal infection.

Differential diagnosis:

1. Acute infection secondary to trauma.
2. Beau’s lines, which could be related to internal diseases.

Probable diagnosis: Onychomycosis (fungal nail infection).

Treatment plan: Take Itraconazole 200 mg twice daily after meals for seven days per month. Repeat the cycle for three months (seven days of treatment, followed by three weeks off).

Preventive measures: Avoid prolonged wet work and keep your hands dry.

I hope this answers your query.

Please let me know if I can assist you further.

Thank you.

Hi,

Welcome back to icliniq.com.

That is good. It is a fungal infection of the nail bed only. Follow the treatment given and it will slowly grow out.

Please feel free to reach out if you need further assistance.

Thank you.