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Blue nails in a child with HIV infection
  1. Ankur Kumar Jindal,
  2. Deepti Suri
  1. Department of Pediatrics, Advanced Pediatrics Centre, PGIMER, Chandigarh, India
  1. Correspondence to Dr Deepti Suri, Department of Pediatrics, Advanced Pediatrics Centre, PGIMER, Chandigarh 160012, India; surideepti{at}

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An 8-year-old boy with perinatally acquired HIV infection was initiated on antiretroviral therapy (zidovudine, lamivudine and nevirapine) at a CD4 count of 270 cells/μL. Three months later, he noted bluish-black pigmentation of nails starting from the base and extending distally (figure 1), more prominent in the thumbnail (figure 2). There were no other symptoms and the examination …

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  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Ethics approval Publication Committee, Department of Pediatrics, PGIMER.

  • Provenance and peer review Not commissioned; internally peer reviewed.