Figure 1: (a) Plain film of the right hand showing almost complete demineralization of the distal phalanx of the thumb and periosteal elevation and osteolysis of the proximal phalanx of the second digit. (b) Plain film obtained during skeletal survey after readmission, demonstrating an osteolytic lesion of the distal left radius. (c) Plain film of the right hand obtained after four months of antifungal therapy, demonstrating remineralization of the distal phalanx.