Fungal nail infection
- Yellowish discolouration
- Soft subungual hyperkeratosis
- Spread from distal edge
- Superficial white onychomycosis

Fungal nail infection
Perform mycological examination of nail clippings INCLUDING soft subungual material to detect fungal elements.
Do not prescribe systemic antifungal drugs without laboratory confirmation of the diagnosis.
Dermatophyte nail infection
Dermatology Referral Criteria
Consider referral to podiatrist
Subungual haematoma
Chronic paronychia
Psoriasis
Pitting and onycholysis