PMC5771738_01
Hyperpigmentation of the distal nail plate with subungual debris involving multiple digits.
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fig1
There was subungual thickening of the distal nail plates of all 10 digits, with diminished involvement of the fourth digit bilaterally (Fig 1).
Microscopic view shows (A) Sporothrix species and (B) Sabouraud dextrose agar growing sporothrixlike species.
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fig2
The culture on Sabouraud dextrose agar grew Sporothrix-like species, which was confirmed with sequencing of the internal transcribed spacer region of the fungal ribosomal RNA (Fig 2).
Follow-up visit with nail findings resolved.
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He returned to the clinic 1 month after treatment, and his nail findings had resolved (Fig 3).