ABSTRACT

Melanonychia striata longitudinalis or longitudinal melanonychia is a chromonychia usually caused by a pigment-producing focus of melanocytes in the nail matrix. While longitudinal melanonychia is a normal racial variation with increasing frequency in advanced age in dark­ skinned persons, it Is rarely seen in (air-skinned people. Fluconazole has only once been reported to produce longitudinal pigmentation on the diseased nail by Trichophyton rubrum in a dark-skinned patient (rom lndia. We report a fUrther case of fluconazole-induced longitudinal melanonychia in a (air skinned patient after long-term and high dose oral fluconazole therapy (or fungal keratitis and onychomycosis.