CANDIDA ONYCHOMYCOSIS IN HIV-INFECTION

Primary nail invasion by Candida is uncommon and almost exclusively se en in patients with an impaired immune function. The appearance of Can dida onychomycosis in an adult who is not under immunosuppressive trea tment always requires a laboratory evaluation of the immunologic funct ion including HIV assays. We report 2 cases of distal subungual onycho mycosis due to Candida sp. in HIV. In one of our patients, the diagnos is of Candida onychomycosis preceded the diagnosis of advanced HIV inf ection. In both of our patients treatment with systemic antifungals pr oduced complete cure of Candida onychomycosis and the 1 year follow-up did not reveal any relapse of the onychomycosis.