Nail candidiasis - Nail and Distal Digit
Alerts and Notices
Important News & Links
Synopsis
Candida nail infections can be divided into 3 general categories.
Infection may begin as chronic paronychia (the recent view is that this is an irritant or allergic hand dermatitis). There is redness and edema of the nail folds, followed by Candida colonization or, less likely, infection. Chronic paronychia is more common in people exposed occupationally to water and irritants.
Patients with chronic mucocutaneous candidiasis are characterized by Candida infections of the skin, mucous membranes, and nails. Patients are at risk of developing cutaneous and systemic granulomas. In rare cases, these patients may develop Candida granuloma involving the nail. This is due to Candida directly invading the nail plate. The nail plate will have gross hyperkeratosis.
The third type of presentation is onycholysis, which is defined as the nail plate separating from the nail bed. This occurs more commonly on the hands than the feet. Candida is often cultured, but in most cases is believed to be from colonization rather than pathogenic.
Infection may begin as chronic paronychia (the recent view is that this is an irritant or allergic hand dermatitis). There is redness and edema of the nail folds, followed by Candida colonization or, less likely, infection. Chronic paronychia is more common in people exposed occupationally to water and irritants.
Patients with chronic mucocutaneous candidiasis are characterized by Candida infections of the skin, mucous membranes, and nails. Patients are at risk of developing cutaneous and systemic granulomas. In rare cases, these patients may develop Candida granuloma involving the nail. This is due to Candida directly invading the nail plate. The nail plate will have gross hyperkeratosis.
The third type of presentation is onycholysis, which is defined as the nail plate separating from the nail bed. This occurs more commonly on the hands than the feet. Candida is often cultured, but in most cases is believed to be from colonization rather than pathogenic.
Codes
ICD10CM:
B37.2 – Candidiasis of skin and nail
SNOMEDCT:
23484007 – Candidiasis of nails
B37.2 – Candidiasis of skin and nail
SNOMEDCT:
23484007 – Candidiasis of nails
Look For
Subscription Required
Diagnostic Pearls
Subscription Required
Differential Diagnosis & Pitfalls
To perform a comparison, select diagnoses from the classic differential
Subscription Required
Best Tests
Subscription Required
Management Pearls
Subscription Required
Therapy
Subscription Required
References
Subscription Required
Last Reviewed:08/08/2017
Last Updated:08/09/2017
Last Updated:08/09/2017
Nail candidiasis - Nail and Distal Digit