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Fingernails of hands (A) and feet (B) before combination therapy.
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From physical examination of all nails showed trachyonychia, longitudinal ridge, mottled lunula, and subungual hyperkeratosis (Figure 1).
One month after 2nd procedure. Note the improvement of fingernails of hands (A) and feet (B).
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Clinical improvement on all nails was seen after two sessions of fractional CO2 laser treatment (Figure 2).