Eumycetoma due to Curvularia lunata

change in the crescent-shaped cap of the distal phalanx are the two main candidate pathogenetic mechanisms that have been proposed.[6] Exposure to teratogens, especially antiepileptic drugs in utero, in mothers with epoxide hydrolase deficiency is another supposed cause of COIF. This probably could explain our patient’s predicament, as her mother had consumed an abortifacient when our patient was in utero. Due to patient’s noncompliance and lack of facilities, arteriographic studies could not be undertaken.