September 2022 - Q&A Case What's the Diagnosis?
Mike Casteel, DPM, FACPM, FAPWHc
50 y/o male presented to the clinic with a complaint of a “thickened fingernail, right pointer finger”, present for approximately 2 years. Patient relates no history of trauma to the nail and no previous skin cancer. Occupation: accountant.
Past Medical History
Past Family / Surgical History
The right 2nd fingernail is positive for
Longitudinal over-curvature of the nail plate
“Honey-comb” appearance of the distal aspect of the nail plate