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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.

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Last updated: 2/11/2021 4:23 PM

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What WE DID WELL

(Answers:674)

The friendliness of the staff, their attitude, their orange uniform..yessssss.

#12020-11-29

This is my 2nd experience with this practice. I originally came here for my son. The attentiveness of the Doctor and staff is truely a positive experience. Thank you. I wish all my doctor's appts were this pleasureable.

#22020-12-11

I like that you can schedule and access info by computer. The office is beautiful, very relaxing and staff is wonderful. The nicest doctors office I have ever been too

#32011-10-19 12:56:42

The doctor was extremely attentive and I did not feel rushed at all. This is by far the best experience I have had at the dermatologist

#42020-07-07

Didn't feel rushed like most doctor's offices

#52011-04-12 08:58:12

Everyone was extremely welcoming, pleasant and professional. I felt very secure with the knowledge and professional, caring treatment by both the doctor and her assistant.

#62020-06-06

The Dr. was very kind, compassionate and respectful as well as knowlegeable of alternative ways. She is a real doll. Happy to have her as my doc and would recommed her to clients at Arrowroot Health Food Store.

#72020-10-03

Punctuality - Perfect Sense of humor of staff

#82020-05-27

Just enjoyed everyone here at the practice. Medical excellece based on intelligence rather than ego (did I really say that)!

#92012-10-25 11:48:39

The doctor and medical assistant took time to explain all of my treatment options and to answer all of my questions completely and honestly.

#102020-03-05

What can we do better?

(answers:373)

not sure yet

#12020-05-31

I was more than pleased with my first visit; a very warm and professional office

#22011-03-09 09:12:38

I would like to get in with the doctor. I also would like more than one option presented to me. Also, it would be nice to be offered more natural alternatives, or integrative treatments.

#32011-08-10 15:47:37

So far so good!

#42011-01-04 10:23:13

Thank you for your help. I will definitely recommend Dr. Ringpfeil to friends.

#52020-03-19

I can't think how anything could have been better.

#62020-09-28

move closer to home

#72010-11-08 09:51:29

tell the Dr. to stop snowboarding and come back to skiing..;-)

#82011-12-07 10:55:46

Appointments available on shorter notice

#92010-10-25 10:00:31

No suggestions

#102020-08-28
Customer Rating : 4.5

Based on 178 ratings
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