Fungal infection of the nail

Even after successful treatment, onychomycosis can be a peskily persistent condition.

foot

Case
John is a 59-year-old male who presents with bilateral dystrophy of his great toenails. He is embarrassed by the appearance of his nails and avoids wearing open footwear.

He eventually attends his GP after several years upon noting that the whole nail has become affected (top figure) and is now causing him increasing discomfort when walking.

Culture confirms Trichophyton rubrum onychomycosis and John is treated by a dermatologist with Canesten Fungal

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