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1病历摘要患儿女,12个月。因趾甲出现白色浑浊1个月于2015年9月3日就诊于我科。患儿11个月前,无明显诱因下右足第四趾甲表面出现小片状白色浑浊,当时未诊治。随后浑浊范围逐渐扩展,并有甲质松碎,甲表面白色碎屑,病程中无明显疼痛及瘙痒。既往无特殊病史。患儿祖母与父亲有足癣史1年余,未治疗。体格检查:一般情况好,系统检查无异常。皮肤科检查:右足第四趾甲甲板增厚,表面高低不平,甲质松脆,表面见白色碎屑(图1A),甲周皮肤无异常。
1 medical records with children, 12 months. Due to white muddy nails 1 month on September 3, 2015 for treatment in our department. Children 11 months ago, no obvious incentive to appear on the surface of the right foot fourth small white turbid plate, was not diagnosed. Subsequent turbidity gradually expanded, and a loose pine, white surface crumbs, no pain and itching during the course of disease. No special medical history. Children with grandmothers and their children have history of tinea pedis more than 1 year, untreated. Physical examination: the general situation is good, the system check no abnormalities. Dermatology examination: the fourth floor of the right foot deformity thickening, uneven surface, crustaceans crisp, the surface see white debris (Figure 1A), a week without abnormal skin.