What is the most appropriate for patients nail condition

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Question: A patient presents with gradual onset of itching and pain in her fingers and nails for the past 3 months. Initially, she had only itching but recently developed pain. She has applied several types of topical creams without relief. She denies trauma or recent infection. Examination demonstrates thickened, yellowish nails with multiple pits in all nails. Some of the nails appear to be separated from the distal nailbed. A salmon-colored macular rash with silvery plaques on her left knee is also noted, but she denies any associated symptoms. Nail scrapings rule out a fungal infection. What is the most appropriate for this patient's nail condition?

Reference no: EM133619007

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