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4 votes
Thickening of the nail plate

+ yellow-white discolaration of the nails
+ subungal debris
+ seperation of nail plate from nail bed
+/- scaling on soles

User Wasp
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2 Answers

5 votes

Final Answer:

The symptoms point to onychomycosis, a fungal nail infection characterized by thickening, yellow-white discoloration, subungal debris, and nail plate separation. Scaling on the soles suggests a potential secondary infection.

Step-by-step explanation:

Onychomycosis is a fungal infection that affects the nails, leading to various symptoms such as thickening of the nail plate, yellow-white discoloration, subungal debris, and separation of the nail plate from the nail bed. The causative agents are often dermatophytes, yeast, or non-dermatophyte molds. The thickening of the nail plate occurs due to the invasion and colonization of the fungus in the nail tissues, causing structural changes.

Yellow-white discoloration is a result of the fungus producing pigments or causing keratin breakdown. Subungal debris, composed of keratin, debris, and fungal elements, accumulates as the infection progresses. Separation of the nail plate from the nail bed, known as onycholysis, is caused by the destruction of the nail matrix by the invading fungus. The scaling on the soles, if present, could suggest a concurrent fungal infection affecting the feet, possibly tinea pedis.

Proper diagnosis and treatment are essential to manage onychomycosis effectively. Topical or oral antifungal medications are commonly prescribed, and in severe cases, surgical intervention may be required. Additionally, maintaining good foot hygiene and avoiding conditions that promote fungal growth, such as warm and humid environments, can aid in prevention. Regular follow-ups with a healthcare professional are crucial for monitoring the progress and adjusting the treatment plan as needed.

User Amr Mostafa
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8.5k points
3 votes

Final Answer:

The described symptoms are indicative of a fungal nail infection, commonly known as onychomycosis.

Step-by-step explanation:

Thickening of the Nail Plate: Fungal infections often lead to the thickening of the nail plate. As the fungi invade the nail, they cause structural changes, resulting in an abnormal thickness of the nail.

Yellow-White Discoloration: Fungal nail infections frequently cause discoloration, manifesting as yellow or white spots on the nail. The presence of these hues is a characteristic sign of fungal involvement.

Subungal Debris: The accumulation of debris under the nail, such as skin fragments and fungal material, is a common feature of onychomycosis. This debris contributes to the deterioration of nail health.

Separation of Nail Plate from Nail Bed: Onychomycosis can lead to the separation of the nail plate from the nail bed, a condition known as onycholysis. This occurs as the fungus undermines the connection between the nail and its underlying bed.

+/- Scaling on Soles: While scaling on the soles is not a direct symptom of fungal nail infection, it may be associated with a fungal skin infection like tinea pedis (athlete's foot). These conditions often coexist as they are caused by the same group of fungi.

User Cystack
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