Research Keyword: fungal melanonychia

Two Cases of Fungal Melanonychia

Two patients developed dark pigmentation on their toenails caused by rare combinations of fungal infections. Through laboratory testing and genetic analysis, doctors identified fungi never before known to cause this type of nail discoloration. Both patients were successfully treated with an antifungal medication called efinaconazole, with complete resolution of symptoms within a few months.

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Two Cases of Fungal Melanonychia

This paper describes two unusual cases where fungal infections of the toenails caused dark pigmentation (melanonychia). The first patient had a combination of two fungi (Aspergillus hiratsukae and Trichosporon faecale) causing black nail streaks, while the second had Exophiala xenobiotica and Trichophyton interdigitale causing dark-brown discoloration. Both patients were successfully treated with an antifungal medication called efinaconazole over several months.

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