Intended for healthcare professionals

Endgames Case Scenario

Squamous cell carcinoma of the nail bed

BMJ 2015; 351 doi: (Published 02 September 2015) Cite this as: BMJ 2015;351:h4640
  1. A Nicholls, specialty registrar1,
  2. J Jacoby, consultant2,
  3. R Hartley, consultant1,
  4. D O’Connor, consultant1
  1. 1Department of Trauma and Orthopaedics, Poole Hospital NHS Trust, Poole BH15 2JB, UK
  2. 2Department of Radiology, Poole Hospital NHS Trust
  1. Correspondence to: A Nicholls alexnicholls{at}

A 75 year old man presented with a four month history of presumed paronychia of his right index finger. Antibiotic and antifungal treatment had not been effective. Destruction of the distal phalanx …

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