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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

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.

# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

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The doctor explained treatment options

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What WE DID WELL

(Answers:674)

Dr. Ringpfiel was very attentive; she explained very clearly different treatments and their outcomes and gave me some alternatives I could choose from. I was extremely pleased by the Dr's professionalism, excellence, kindness and attention. Definitely one of the best services I have received! I am bringing my son in 3 weeks!

#12025-05-05

They were the first attentive people in the medical field I've encountered in a while. Quick and EFFICIENT visit- I appreciated everything!!!!!

#22025-04-06

everyone was very friendly and didn't make me feel self conscious.

#32011-06-01 18:06:14

Friendliness of all staff.

#42025-08-28

I like the conscientious of the team. They seem to care and are capable.

#52011-10-27 14:37:41

I particularly appreciated the medical assistant's general demeanor, affability and professionalism.

#62025-04-12

Overall friendliness of the staff. Atmosphere was very comfortable.

#72025-02-27

I did not have to wait to be seen at all. From the start of my visit until I walked out the door the doctor & staff were very professional & took the tim to answer my questions and listen to me also. I have been seen by other dermatologist and I was defibately impressed here.+++A+++ Higly recommended.

#82024-10-27

Everyone was very friendly and considerate. I did have to wait a little longer for the doctor to come in but the medical assistant was so polite and came in to offer me a magazine.

#92025-04-24

Friendliness of the staff.

#102024-11-16

What can we do better?

(answers:373)

we are okay

#12025-07-10

it was a little warm in the waiting area

#22025-04-05

Can't think of anything right now.

#32010-10-21 15:50:32

Just keep up the good work!

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You were great. No suggestions

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I am very satisfied now.

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I am completely happy with my needs being met here.

#72010-08-23 16:52:07

I think you have done a great job.

#82011-02-21 16:01:23

Everything was great

#92025-06-21

This was my first visit and although i was uncomfortable with my problem which was addressing I was truly happy with everything else.

#102011-07-28 15:11:23

Customer Rating : 4.7

Based on 637 ratings