Nail Changes following Chemotherapy
This 56-year-old lady was diagnosed with metastatic carcinoma colon when she presented with weight loss and pain abdomen. She was started on multi-agent chemotherapy with following drugs every 2 weeks: 5-Fluorouracil, Leucovorin and Oxaliplatin. She responded initially after six cycles but progressed after twelve cycles of the regime. She was started on second-line therapy with 5-Fluorouracil, Leucovorin and Irinotecan. She continues to be on the regime with partial response.