case_images: PMC11771178_01
case_images: PMC11771178_02
case_images: Physical examination revealed thinning hair, focal alopecia. There are irregular red patches and scales scattered on the face. The nail of the right middle finger and the ring finger was damaged.
case_images: CCID-18-245-g0001.jpg
case_images: PMC11771178_02_CCID-18-245-g0001.jpg
case_images: f0001
case_images: The right ring fingernail plate exhibited flaky white turbidity (Figure 1).
case_images: Fluorescence microscopy revealed large amounts of mycelium on the face (A), head (B), and right-hand nails (C).
case_images: CCID-18-245-g0002.jpg
case_images: PMC11771178_02_CCID-18-245-g0002.jpg
case_images: f0002
case_images: Scales scraped from the face, scalp, and right middle nail rash showed positive mycelia under fluorescence microscopy after fluorescent staining, confirming the presence of a fungal infection (Figure 2).
case_images: Six months after the end of treatment, clinical photographs showed that the head and face lesions had subsided and the nails had returned to normal.
case_images: CCID-18-245-g0003.jpg
case_images: PMC11771178_02_CCID-18-245-g0003.jpg
case_images: f0003
case_images: Then, the rash on the patient's face and nails subsided and her hair regrew (Figure 3).