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March 1966


Arch Dermatol. 1966;93(3):379-381. doi:10.1001/archderm.1966.01600210115026

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Simultaneous Occurrence of Onychomycosis, Psoriasis of Scalp and Nails, and Alopecia Areata. Presented by Dr. Irving D. Ehrenfeld and Dr. Henry Silver.  The patient is an 18-year-old boy. For at least seven months he has had pitting of all finger nails and the nail of the fourth left toe in the classical appearance of psoriasis of nails (Fig 1). The right great toe, however, is dystrophic in a somewhat different manner. The nail bed under the free edge is hypertrophic and scaly. Scrapings from the area under this nail showed fungous elements on direct examination and Trichophyton rubrum

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