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HomeAnswersDermatologytoenail fungusHow to cure the appearance of a pigmented line in my fourth toenail?

I have a pigmented line in my toenail. Why so?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Vinay Kumar

Medically reviewed by

iCliniq medical review team

Published At February 16, 2016
Reviewed AtMay 23, 2024

Patient's Query

Hi doctor,

I have got a pigmented line in my fourth toenail. It started as a freckle that was tan in color quite quickly over four or five months it has turned darker. It is not growing out but spreading in width. The bottom left part of my skin and cuticle area is very itchy at times and it feels tender in my toe and top of my foot at times too. I have not had any trauma to my foot, knocked it, or dropped anything on it. Is it something that will just disappear? I am a 31-year-old female, currently on Amitriptyline 50 mg at night.

Answered by Dr. Vinay Kumar


Welcome to icliniq.com.

I have examined the submitted details (attachments removed to protect the patient's identity) and will do my best to help you overcome the problem. Close examination shows the dark band appearance that is often seen in individuals who get an infection due to a fungus. To most of my clinic patients, I suggest tablet Fluconazole 150 mg weekly and Miconazole or similar antifungal lotion twice a day. It takes some weeks before the results are apparent. If there is itching in adjacent areas, Zyrtec (Cetirizine) or another antiallergic can be a great help, taken once a day. With proper care, avoidance of moisture in the area, and well fitting footwear, the problem is manageable. Best wishes.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vinay Kumar
Dr. Vinay Kumar


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