Candidial paronychia is common in females as prolongued water exposure is the main causative factor. This patient was male nevertheless same risk factors were present as he is a juice shop worker. Nail involvement of characteristic of this condition and a mixed bacterial infection is almost always present. I read an article about the role of immediate contact dermatitis to food allergens (?protein contact dermatitis) in the pathogenesis which I was not aware. What are the implications of this new finding in its treatment? If there is progression to total nail dystrophy Cushings and Raynauds need to be ruled out.
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