Document Detail

A case of melanonychia due to Candida albicans.
MedLine Citation:
PMID:  16681587     Owner:  NLM     Status:  MEDLINE    
Candida species rarely cause black pigmentation of infected nails and only a few cases have been reported in the literature. We describe a 53-year-old white man who had diffuse melanonychia of the fourth right fingernail due to C. albicans. A progressive dark pigmentation of his nail appeared over 6 months, following paronychial inflammation. The melanonychia was associated with brittleness. There was no onycholysis or hyperkeratosis. Direct examination with potassium hydroxide demonstrated round yeast cells in the specimen. The samples were cultured on Sabouraud glucose agar containing chloramphenicol at 27 degrees C and showed white growth after a few days. The patient was successfully treated with systemic itraconazole.
A H Parlak; N Goksugur; O Karabay
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Clinical and experimental dermatology     Volume:  31     ISSN:  0307-6938     ISO Abbreviation:  Clin. Exp. Dermatol.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-09     Completed Date:  2006-09-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7606847     Medline TA:  Clin Exp Dermatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  398-400     Citation Subset:  IM    
Department of Dermatology, Izzet Baysal Medical Faculty, Abant Izzet Baysal University, Bolu, Turkey.
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MeSH Terms
Antifungal Agents / therapeutic use
Candida albicans* / isolation & purification
Hand Dermatoses / drug therapy,  microbiology
Itraconazole / therapeutic use
Melanosis / microbiology*
Onychomycosis / drug therapy,  microbiology*
Treatment Outcome
Reg. No./Substance:
0/Antifungal Agents; 84625-61-6/Itraconazole

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