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Fungal infection of the nails is known as "onychomycosis".

It is increasingly common with increased age. It rarely affects children.

Tinea unguium may affect one or more toenails and/or fingernails and most often involves the great toenail or the little toenail.

It can present in one or several different patterns:

Lateral onychomycosis, presenting with a white or yellow opaque streak at one side of the nail;

Subungual hyperkeratosis, presenting with scaling under the nail;

Superficial white onychomycosis, presenting with flakey white patches and pits appear on the top of the nail plate;

and proximal onychomycosis, presenting with Yellow spots in the half-moon.

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