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The thumbs of the patient mainly show nail bed involvement with subungual hyperkeratosis, salmon spot, and onycholysis.
Notes: (A) Before treatment (September 2011). (B) After 3 months of topical treatment with calcipotriol plus betamethoasone dipropionate ointment and clobetasol solution under the nails: the right thumb shows some improvement and the left thum nail has worsened (December 2011).
