Prevention with properly trimmed nails, avoidance of ill-fitting shoes, and diluted bleach soaks (14).For acute inflammation with serosanguinous drainage: warm soaks, a high potency topical corticosteroid and antimicrobial, such as betamethasone dipropionate 0.05% ointment and gentamycin 0.05% cream (15). Incision and drainage if abscess develops; consider systemic antibiotics if drainage not fully successful or overt cellulitis (16)Biotin supplementation has proven in some studies to be efficacious for enhancing nail plate strength after becoming brittle from EGFR inhibitor treatment (17). The gene discussed is EGFR; the disease is cellulitis.