Candida nail fold infection is relatively common and is usually seen in people with occupations requiring prolonged immersion of hands or feet in water. Micro-organisms, both Candida species and bacteria, invade the area under the nail fold.
Chronic candidal paronychia versus Tinea unguium
Discriminatory signs
chronic candidal paronychia | Tinea unguium |
loss of cuticle - the nail plate surface may develop irregular ridges and deformity | nail dystrophy starts distally |
bolstering and erythema of proximal, and sometimes lateral, nail folds | separation of the nail plate from the nail |
nail fold remains intact |
Management
Candida as a cause of onychomycosis is relatively rare with most cases of fungal nail infection due to dermatophyte infection.
Reference:
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