This weeks challenge is from Consultant Live. This 56 year old man was noted to have these thumbnails at his physical exam. The remainder of his nails were normal. He denied trauma and worked as a banker. What is the diagnosis?
1. Psoriasis
2. Vitamin K Deficiency
3. Lichen Planus
4. Onchomycosis (fungus)
5. Median nail dystrophy due to trauma
The answer will be posted tomorrow. Click on comments and let me know your diagnosis.

12 comments:
Looks like fungus I had years and years ago. It was in 1961, after thalidomide scare over taking drugs while pregnant, so I could use only alcohol on cotton ball to soak it.
Vitamin K deficiency
looks just like my husband's psoriatic thumbnails...
Median nail dystrophy due to traums
yeah witamin K!
Looks like nail changes due to psoriasis.
nail dystrophy due to trauma
I absolutely tie in with anything you've presented us.
fungus
median nail dystrophy, trauma may have been as simple as "picking" at cuticles.
Quite effective info, lots of thanks for the article.
Here, I do not actually think this is likely to have success.
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