Classical signs and numerous atypical forms have been described, such as annular, chancriform, acute paronychial, palmoplantar, zosteriform, and erysipeloid (1, 3, 7-9).
Nail signs like discoloration, onycholysis, thickening of the nail plate and paronychial inflammation were assessed on a four-point scale (0, absent; 1, mild; 2, moderate; and 3, severe).
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