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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: 6/27/2023 11:10 AM

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The doctor explained treatment options

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What WE DID WELL

(Answers:674)

the staff was extremely friendly, polite and worked well with my 6 year old

#12022-10-02

very comfortable, but classy environment. Gave the feeling that the practice was upscale and therefore service would be quality

#22011-12-22 16:04:37

I rea;;y appreciated how soon I was given an appointment and also how friendly all of the staff are. The office is beautiful.

#32022-12-08

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

#42022-12-03

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

#52023-02-28

Dr Ringpfiel is clearly extremely knowledgable, and dhe took the time to listen completely to me about my condition. I really appreciated the time she took with me, and I am confident she is on the right path for treatment.

#62023-09-08

not a crowded office

#72022-11-17

The doctor was very nice!

#82023-03-03

I thought the doctor was very thorough in explaining the procedures I need to take care of my skin problem

#92023-05-05

The bedside manner of Dr. Ringpfeil.

#102023-05-10

What can we do better?

(answers:373)

Nicer chairs in office

#12011-01-24 14:33:36

no suggestions

#22023-09-26

keep on on trying to do your best

#32023-08-19

Service was fantastic. No suggestions.

#42011-11-29 13:58:45

Have an accessible examining table!!!

#52011-08-31 14:28:17

I am new here, so I don't have any suggestions at this time

#62022-10-09

smile more

#72010-09-09 10:34:11

Foodcoffe

#82023-09-07

Everything is just great!

#92023-06-10

move closer to home

#102010-11-08 09:51:29

Customer Rating : 4.6

Based on 402 ratings
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