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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] Proximal subungual onychomycosis is fungal penetration of the newly formed nail plate through the proximal nail fold.
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]
The funguses causing athlete's foot may spread from other areas of the body to the feet, usually by touching or scratching the affected area, thereby getting the fungus on the fingers, and then touching or scratching the feet. While the fungus remains the same, the name of the condition changes based on where on the body the infection is located.
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It is a nail disease prevalent in individuals whose hands or feet are subject to moist local environments, and is often due to contact dermatitis. [13]: 660 In chronic paronychia, the cuticle separates from the nail plate, leaving the region between the proximal nail fold and the nail plate vulnerable to infection.