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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.

How can we help you?

SKIN

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Last updated: 7/21/2021 11:52 AM

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Compare our service to other similar practices

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very good
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Overall doctor performance

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very good
4.89%
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The doctor listened to you attentively

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good
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The doctor took time to answer your questions

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The doctor explained treatment options

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The doctor explained treatment options

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Front desk performance

excellent
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very good
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good
3.66%
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Aesthetician performance

excellent
88.6%
very good
7.61%
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Office comfort

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Parking

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What WE DID WELL

(Answers:674)

THE MUSIC! WOW. IT REALLY WAS AMAZING. PLEASE DO A BEST OF CD.

#12021-04-07

This was the fastest (in a positive way) medical appointmenet I've had since moving to this area.

#22011-01-05 08:38:17

easy to get appointment,great docs,great staff.

#32012-09-04 13:02:42

Mainly speaking with the Dr and being explained everything.

#42021-04-30

You people are superb. The doctor and the assistant understand what they are doing. The doctor really talks like a professional - she knows it for sure.

#52021-07-05

I liked the staff, the office, decor, music and the overall atmosphere. I felt comfortable. I will definitely recommened this practice in the future.

#62021-05-26

n/a

#72021-07-23

NO COMMENT AT THIS TIME.

#82020-12-25

Very relaxed and comforting environment. This was my first visit with a dermatologist and am quite happy with the experience.

#92021-05-25

Doctor was incredibly well spoken and informative.

#102021-03-07

What can we do better?

(answers:373)

Service was outstanding!

#12020-09-06

The service is wonderful nothing needs to be changed.

#22021-05-21

I am a little annoyed that I called to say I was on my way and I was told that I may not get here in time and will probably have to reschedule. Then when I got here, I filled out the paperwork then had to wait 20 minutes to be seen. It would be nice to know the receptionist's name so I know who I am calling when I have questions. It would be nice to have WiFi available during the wait.

#32011-06-22 17:06:20

I think everything was wonderful. Keep up the good work!

#42011-02-22 09:25:17

I couldn't find any parking.

#52020-08-23

I was a bit embarressed by not knowing more information regarding my parents history. I believe it would have been better handled if I were asked to please get more info and then let the dr's office know.

#62020-07-31

Loved all the options for appointments, very appreciative. Thank you

#72011-02-23 17:51:48

I think everything was wonderful. Keep up the good work!

#82011-02-22 09:25:17

I checked off compimentary consultation with aesthetician on the intake forms, but it wasn't mentioned and I forgot to ask during the examination.

#92020-08-28

your office was just as described to me, most impressive!

#102011-09-07 11:57:29
Customer Rating : 4.5

Based on 238 ratings
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