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I welcome interesting clinical cases you think might fit here, or any suggestions for subjects you would like to hear more about.


Friction – a cause of melanonychia
Brown stripes in the toenails (melanonychia) are a cause of concern, but often they have simple causes like friction as this blog explores.
Ivan Bristow
Dec 19, 20233 min read


Does terbinafine cause liver damage?
Oral terbinafine continues to be the oral drug of choice in the management of onychomycosis, but there continues to be doubt over its...
Ivan Bristow
Oct 3, 20233 min read


Preventing Dermatophyte Reinfection
In this blog, I look at evidence regarding strategies to prevent dermatophyte reinfection of the feet and toenails.
Ivan Bristow
Jun 13, 20237 min read


Drilling holes in nails – getting to the root of the infection?
How can we improve cure rates when using topical antifungal nail treatments? Published work suggests nail fenestration may help.
Ivan Bristow
Dec 5, 20226 min read


Is susceptibility to tinea genetic?
With increasing DNA analysis technology, can we unravel the mystery of tinea? Is susceptibility genetic? This blog looks at recent work.
Ivan Bristow
Nov 8, 20224 min read


Assessing Progress in Onychomycosis
The OSI is a simple clinical tool to quantify and measure the extent of nail involvement in onychomycosis. This video explains how it works.
Ivan Bristow
Aug 30, 20222 min read


An unusual onychocryptosis
The authors present an unusual case of onychocryptosis.
Ivan Bristow & Stuart Metcalfe
Aug 3, 20222 min read


Clubbing of the nails
This blog explores the phenomenon of nail clubbing and its cause.
Ivan Bristow
Jul 5, 20225 min read


Onychomycosis in children
Onychomycosis in children is an unusual finding. This blog looks at what we know about it.
Ivan Bristow
Jun 1, 20225 min read


Pseudomonal Chloronychia - Green nails
Green nails are a sign of Pseudomonas infection. This article looks at its presentation and management.
Ivan Bristow
Jun 1, 20223 min read


Palmoplantar Pustulosis or Psoriasis?
Last week, I was presenting online about psoriasis. Whilst I was discussing variants of the condition, I mentioned pustular psoriasis –...
Ivan Bristow
Mar 9, 20214 min read


Drug Developments in Onychomycosis
It has been a while since any new drugs have entered the market indicated for the treatment of onychomycosis. In an earlier blog I...
Ivan Bristow
Feb 3, 20213 min read


Durlacher's corn. Skin or nail?
A while back I was reading an interesting article from the dermatologist, Dr Eckhart Haneke entitled “Double nail of the little toe” (1)...
Ivan Bristow
Dec 2, 20203 min read


COVID toes? Now look out for COVID nails...
Following on from COVID toes, two case studies report suspected cases of COVID nail...
Ivan Bristow
Nov 6, 20203 min read


A great book at a great price!
A review of the fourth edition of Scher and Daniels Nails Textbook.
Ivan Bristow
Nov 3, 20202 min read
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