Make the Diagnosis: What is the Source of these Multiple Skin and Nail Signs?

(MedPage Today) — Worried parents took their 10-month-old girl to her pediatrician. She had previously been seen for thrush, but the oral nystatin she was prescribed did not clear the infection. Now, the infant’s finger and toenails were showing signs of infection, such as yellow and white discoloration, and she had developed a persistent, crusty diaper rash.

Can you diagnose the patient?

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