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Scopulariopsis - Nail and Distal Digit
See also in: Immunocompromised, HIV and AIDS
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Scopulariopsis - Nail and Distal Digit

See also in: Immunocompromised, HIV and AIDS
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Contributors: Bertrand Richert MD, Robert Baran MD
Other Resources UpToDate PubMed

Synopsis

Scopulariopsis brevicaulis is a non-dermatophyte mold that is ubiquitous in the soil. S. brevicaulis may invade nail keratins and cause onychomycosis, typically of a single toenail. Mixed infection with a dermatophyte (Trichophyton rubrum or Trichophyton interdigitale) occurs frequently.

Infection has been traced to walking barefoot in endemic areas. Onychomycosis due to S. brevicaulis has not been associated with systemic disease.

Codes

ICD10CM:
B48.8 – Other specified mycoses

SNOMEDCT:
39949000 – Scopulariopsis

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Dermatophyte onychomycosis is more commonly associated with concurrent tinea pedis. It can be impossible to distinguish dermatophyte from non-dermatophyte onychomycosis on clinical features alone.

Psoriasis – affected individuals frequently have characteristic plaque psoriasis of the skin; psoriasis is rarely limited to the nails. Pitting and onycholysis are the most common nail findings.

Best Tests

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Management Pearls

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Therapy

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References

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Last Updated: 01/24/2010
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Scopulariopsis - Nail and Distal Digit
See also in: Immunocompromised, HIV and AIDS
Print 7 Images
View all Images (7)
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Scopulariopsis : Diffuse yellow nails, Onycholysis - lifting nail, Solitary nail or digit, Toenails
Clinical image of Scopulariopsis
Copyright © 2019 VisualDx®. All rights reserved.