nail pathology
Painful distal eritronichia and distal onycholisis
This clinical picture is commonl in everyday derm consultation. Fungus is normal clinical answer but there´s a wide differential: Subungueal tumour? (glomus?) Lupus?
Transveral US scan
There´s a bone proliferation with no flow
longitudinal US scan
Same bone ploliferation makes diagnosis clear an indicatetes treatment: Exostosis can not be cured through imidazolics!!!
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