Superficial white onychomycosis in a 3-year-old human immunodeficiency virus-infected child

Background Superficial white onychomycosis is exceptional in children, alth ough a few anecdotal cases have been reported in the literature. On the oth er hand, superficial white onychomycosis and proximal subungual onychomycos is, while unusual in the general population, often appear in adult human im munodeficiency virus (HIV)-infected persons. Case report A 3-year-old girl with vertically acquired HIV-1 infection pres ented superficial white onychomycosis involving the second, third, fourth a nd fifth toes of her left foot, caused by Trichophyton rubrum. She was trea ted with topical amorolfine once a week, with a good response within 4 week s. Conclusions We report a case of superficial white onychomycosis associated with HN infection in a 3-year-old girl. To our knowledge, this type of onyc homycosis has not been previously reported in HIV-infected prepubertal chil dren.