I have what appears to be a whitish flaky toenail. This is only toenail with any problems. When I cut the nail I realized that there was a space under the nail. I cut the nail over the space to reveal a small hole (ulcer) that was slightly infected. I cleaned the area thoroughly, squeezed out all the gross stuff and dressed it. Two days later the wound looks very good and is now healing well, but I have no idea how I got this or what it is? Should I still go to the doctor even though it looks like it is healing well now?
The two lesions- white flaky toe nail and the ulcer on the nail bed can be due to same disease process or two different disease processes. It can be due to a fungal infection since a white flaky nail is characteristically seen in fungal infection. Secondly, the ulcer on the nail bed can also be due to fungal infection or a separate infectious process. Although the wound has healed, a clinical examination of the toe nail is needed. Fungal infection if present has to be confirmed by nail scrapings. Fungal infections of the nail requires a long treatment with topical anti-fungals.
Thanks and take care Dr Shailja P Wahal
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Whitish Flaky Toe Nail. Infection?
Hello Thanks for the query You are suffering from fungal infection of the nail. use an over the counter available antifungal cream for atleat 1 month. you will get relief If it worsens in the next one week instead of giving relief, Please meet a dermatologist. you can ask a direct question to me on this forum, following the below link. http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818 Wishing you good health. Thank you