A 48-year-old-man presented with whitish discoloration and hyperkeratosis of the toenail that had extended quickly from the proximal to the distal nail fold. This atypical presentation of onychomycosis prompted investigation for underlying immunosuppression.

中文翻译：

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HIV感染表现为近端白色甲癣

一名48岁的男子表现出脚趾甲发白变色和过度角化，该指甲从近端至远端的指甲褶迅速蔓延。灰指甲的这种非典型表现促使人们进行了潜在的免疫抑制研究。