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Written by Dr. Ringpfeil

Nail Fungus (Onychomycosis)

nail fungus

Onychomycosis is a fungal infection of the nail. Either fingernails or toenails can be affected but the condition is more commonly seen in the toenails. People become aware of the condition because of the altered appearance of the nail or multiple nails. The nail can become yellowed, crumbly, thickened, lifted up from the nail bed or debris can be seen beneath the nail.

DIAGNOSIS

A definitive diagnosis is made by clipping a portion of the affected nail and sending it to the lab for analysis. Other clues to the diagnosis include rash on the feet or between the toes consistent with athlete's foot (tinea pedis). Longstanding athlete's foot infection can put individuals at risk for toenail fungus. Fungal infection of the skin of the hands (tinea manuum) can also be associated with onychomycosis of the fingernails.

TREATMENT

One of the most efficacious treatment options is treatment with an oral antifungal medication such as Lamisil. Fungal infection of the toenails requires treatment for a period of three months; fungal infection of the fingernails requires treatment for six weeks. Since the oral antifungals are metabolized through the liver, blood test monitoring of liver function is recommended when treatment for more than six weeks is required.

Another promising treatment alternative with a high percentage of effectiveness is treatment with the PinPointe laser. This laser can be found at some podiatrists' offices.

Topical treatment with antifungal solutions and creams is also available but treatment success is low and daily treatment for many months is required.

All treatments are hampered by the high recurrence rate for fungal nail infection. Even if treatment protocols are strictly followed and nail fungus is eradicated, there is a good chance that the problem will recur.

COPING

The dystrophic appearance of toenails infected with fungus can be improved through the use of topical keratolytics such as urea and by having the thickened nails filed down professionally by a podiatrist.

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Last updated: 1/02/2024 11:10 AM

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What WE DID WELL

(Answers:674)

appreciated the thorough explanation from the doctor and the instant research on a product I wanted to know more about

#12024-11-07

The entire staff was friendly and attentive to my childs needs. Thank you!

#22025-08-02

I called 6 different Dermatology offices (including 2 I had been to previously), and none were willing to fit me is as you were. Thank you for your compassion!

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jenny's attention was excelent

#42011-11-30 09:16:36

The entire staff was friendly, efficient and professional. Office and exam room were immaculate. Exam was thorough and complete. I have peace of mind that I have no problems at this time.

#52012-10-16 12:55:55

I have been to a number of derm docs....often it seems as though they have you try this or that but never seem to have a clear plan as to how they will treat ALL of the issues at hand. Thank you for taking the time to address each one of my concerns.

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Ability to use computer to fill in info

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keep doing what you did.

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Too Early

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Keeping me from dying of skin cancer would be good (I will behave and do the checks and annual exam to help out!!!)

#102010-11-29 11:47:11

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