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It accounts for around 10 percent of onychomycosis cases. In some cases, WSO is a misdiagnosis of "keratins granulations" which are not a fungus, but a reaction to nail polish that can cause the nails to have a chalky white appearance. A laboratory test should be performed to confirm. [19]
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Candidal onychomycosis is an infection of the nail plate by fungus caused by Candida. [1]: 305 In one study Candida parapsilosis was the most common species; Candida albicans is also a common agent. [2]
Green nail syndrome is an infection that can develop in individuals whose hands are frequently submerged in water resulting in discolouration of the nails from shades of green to black. [ 3 ] [ 4 ] It may also occur as transverse green stripes that are ascribed to intermittent episodes of infection. [ 3 ]
Nail inspection can give hints to the internal condition of the body as well. Nail disease can be very subtle and should be evaluated by a dermatologist with a focus in this particular area of medicine. A nail technician may be the first to note a subtle change in nail health. [2] [3] [4]