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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: 12/03/2019 4:34 PM

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What WE DID WELL

(Answers:674)

I followed the Dr. from Jefferson - Philadelphia. Dr. Ringpfeil is the best dermatologist I have had... and as a psoriasis patient I have had a few of them. For the first time, my skin reacts to treatment. Thank you!

#12019-10-01

Love visiting with Jill - she makes the visit easy.

#22010-11-11 16:01:31

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.

#32019-09-07

no waiting

#42019-02-10

Friendliness of the staff.

#52019-09-14

The atmosphere was relaxed and pleasant. I especially liked having a nice big clock in the waiting room.

#62019-03-26

everyone was great

#72019-05-09

Talking with the Physician

#82019-11-03

The office has a very relaxed setting this was the most comfort that I ever felt going to any doctors office, and also great music, you guys we here from me around the holidays and after my outcome with the other specialist!!! Thanks again!! Service AAAAA+++++++++

#92019-07-01

Friendly, well educated

#102019-03-17

What can we do better?

(answers:373)

There was some wait between my initial interview with the medical assistantand my meeting the physician. This wait could have been shorter.

#12019-10-02

Better parking?

#22019-11-18

I had an appointment for a consulation for sun damage. Unfortunately, I need to see either a doctor or PA for my issue and this was not included in my appointment, so I need to make another trip. It is difficult for me to carve time out of my work day to take care of personal needs, so this is creating an inconvenience for me. I would have preferred to had the complete consultation done in one appointment.

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Service was excellent, keep up your service as is.

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very satisfied

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I couldn't find any parking.

#72019-06-22

everything was great, i don't have any suggestions

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more than adequate service!

#92019-09-12

Everything was great.

#102019-11-30
Customer Rating : 4.5

Based on 110 ratings