The toenail continued to grow out slowly, the fissure gradually began to heal. Eighteen months later the split is all but gone; only a remnant remains near the leading edge of the nail. As an added bonus, the course of therapy cleared up a chronic case of tinea pedis as well. I was pleased — but this is not the end of the story; for in medicine, like the Lord of the Rings trilogy, clinical tales never end; they merely morph into other, more puzzling dissertations.
Readers can access the rest of this clinical tale — In Poor Taste — in the Online Journal of Community and Person-Centered Dermatology, a free, post-publication peer-reviewed, full text, open-access, online publication that addresses all aspects of skin disease that concern patients, their families, and practitioners.