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[Clinical Picture] Nail infestation: an atypical presentation of typical scabies

A 55-year-old man with a 2-year history of leucocytosis was diagnosed, 9 months ago, with non-Hodgkins lymphoma. He underwent combination chemotherapy, but unfortunately, despite these treatments his illness did not remit. In April, 2017, he was admitted for a fourth round of chemotherapy. At review, he complained that some of his finger and toe nails had become thick and dystrophic over the previous 8 weeks. He did not report any pruritus or pain. Consequently, he was seen by a dermatologist. Physical examination revealed eight thickened, yellowish, and dystrophic nails, with the surrounding area appearing red and puffy (figure).