Images in clinical medicine | Volume 40, Article 72, 01 Oct 2021 | 10.11604/pamj.2021.40.72.26025

Psoriasis with onychomycosis in a diabetic patient

Surya Besant Natarajan, Krishna Prasanth Baalann

Corresponding author: Surya Besant Natarajan, Department of Community Medicine, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India

Received: 11 Sep 2020 - Accepted: 12 Dec 2020 - Published: 01 Oct 2021

Domain: Dermatology,Diabetes care,Community health

Keywords: Onychomycosis, psoriasis, diabetes

©Surya Besant Natarajan et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Surya Besant Natarajan et al. Psoriasis with onychomycosis in a diabetic patient. Pan African Medical Journal. 2021;40:72. [doi: 10.11604/pamj.2021.40.72.26025]

Available online at: https://www.panafrican-med-journal.com/content/article/40/72/full

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Images in clinical medicine

Psoriasis with onychomycosis in a diabetic patient

Psoriasis with onychomycosis in a diabetic patient

Surya Besant Natarajan1,&, Krishna Prasanth Baalann1

 

1Department of Community Medicine, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India

 

 

&Corresponding author
Surya Besant Natarajan, Department of Community Medicine, Sree Balaji Medical College and Hospital, Bharath University, Chennai, India

 

 

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Global prevalence of psoriasis ranges between 0.09% to 11.43%. Psoriasis is basically a defective inflammatory response. Dry flakes of silvery white skin scales in psoriasis results from the excessive proliferation of skin. Incessant irritation brought about by psoriasis is the most significant and huge contributing component for the expanded diabetes hazard and different other metabolic disorders. A 45-year-old man presented with complaints of yellowish discoloration of nails on both hands with difficulty to perform day to day activities. Patient a known case of psoriasis for the past 7 years and was on topical medication for the same. Examinations revealed yellowish discoloration of fingernails, thickening of nails, with separation of nail from nail bed. A deep ulceration of size 1 x 2 cm over the distal phalanx is noticed. Lab investigations revealed poor glycemic control and on direct microscopy with 20% potassium hydroxide (KOH) and culture revealed onychomycosis. Patient was started on systemic anti-fungals medication and simultaneous treatment for achieving glycemic control.

 

 

Figure 1: (A,B) ulcerations due to onychomycosis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Images in clinical medicine

Psoriasis with onychomycosis in a diabetic patient

Images in clinical medicine

Psoriasis with onychomycosis in a diabetic patient

Images in clinical medicine

Psoriasis with onychomycosis in a diabetic patient

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Onychomycosis

Psoriasis

Diabetes

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