1. Optical Coherence Tomography Features of Dermatophytoma

    Optical Coherence Tomography Features of Dermatophytoma

    Dermatophytoma was first described in 1998 to complicate toenail infections and is characterized by fungal elements compacted into a fungal ball. 1 Clinically, it appears as a dense white or yellow linear or round white patch within the nail plate. Cutting back the overlying nail plate reveals a hyperkeratotic mass that can be easily removed because it is not adherent to the nail plate or nail bed, and histologic analysis reveals a dense mass of abnormal-appearing, densely walled, dermatophyte hyphae. 1 , 2 The standard diagnostic test for onychomycosis involves clinical suspicion and at least 1 positive finding on a laboratory ...

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