{Reference Type}: Case Reports {Title}: Onychoscopic Analysis of Cyclophosphamide-Induced Polydactylic Bluish-Gray Discoloration in a Case of Pemphigus Foliaceus. {Author}: Garg P;Mundhe AD;Jadhav A;Mishra N;Deo KS; {Journal}: Cureus {Volume}: 16 {Issue}: 3 {Year}: 2024 Mar 暂无{DOI}: 10.7759/cureus.57233 {Abstract}: Cyclophosphamide, an alkylating agent, has rarely been observed to cause a bluish discoloration of nails, an occurrence that is typically underreported. We describe the case of a middle-aged male undergoing dexamethasone-cyclophosphamide pulse therapy for pemphigus foliaceus, who exhibited bluish-gray discoloration of the nails. It is crucial to differentiate this presentation from other conditions such as nail apparatus melanoma (NAM), which may manifest in a slightly different manner. We also report the onychoscopic findings observed in this case.