55 year old man with 6 month history of nail distrophy. Only thumbs. He works with his hands cutting film. Trauma likely.The patient wrote:
"I noticed left thumbnail change in appearance in late August 2005. I scraped the nail down and got fluid near base. The right thumbnail became abnormal after trauma in October of 2005 showing a crack straight up the middle of the nail."
Moderator: I suspect lichen planus. Median nail dystrophy less likely.
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