IMAGE ARTICLE | VOLUME 1, ISSUE 1 | OPEN ACCESS DOI: 10.23937/2474-3682/1510010

Talc, over the Nails

Shilpa Y Krishnegowda and Sudhir Kumar N

Adichunchanagiri Institute of Medical Sciences, B G Nagar, Karnataka, India

*Corresponding author: Sudhir Kumar, Department of Dermatology, Adichunchanagiri Institute of Medical Sciences, B G Nagar, Karnataka, India, E-mail:

Published: September 21, 2015

Citation: Krishnegowda SY, Sudhir KN (2015) Talc, over the Nails. Clin Med Img Lib 1:010.

Copyright: © 2015 Krishnegowda SY. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

A 40-year-old male was referred for evaluation of nail changes present since 2 years. The patient had a 10 - year history of HIV infection and was on antiretroviral therapy. Examination revealed superficial, friable, opaque, powdery (talc-like) white patches over the nail plates of all toes. Direct microscopy with 10% KOH of scrapings from the dorsal nail plate showed translucent, septate hyphae. The patient was started on itraconazole pulse therapy. White superficial onychomycosis is a less common presentation of onychomycosis, usually attributed to immune compromised states. In the one - year of follow up, no improvement was noted (Figure 1).


Figure 1: Superficial white onychomycosis - superficial, opaque, talc - like white patches is seen over the nail plates.