文摘
A 79-year-old woman presented with nail abnormalities on her right hand. She had hepatitis B liver cirrhosis and osteoporosis. Physical examination reviewed the onychomadesis of the index, middle and ring fingers of her right hand. History reviewed that the patient was admitted 2 months previously because of osteoporotic insufficiency pelvic fracture and cellulitis on her right foot. There was no history of traumatic injury to her fingers. Fungal smear and nail culture were negative. Over the next few weeks, the fingernails involved grew out. It was likely that systemic stress due to cellulitis caused the onychomadesis.