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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

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

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
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The doctor took time to answer your questions

excellent
94.0%
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4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
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4.16%
good
1.25%
poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
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0.05%
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Parking

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66.4%
very good
14.4%
good
15.7%
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2.49%
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0.9%

Friendliness of the staff during appointment

excellent
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very good
7.23%
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What WE DID WELL

(Answers:674)

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.

#12023-09-28

Dr. Ringpfeil's professionalism as well as her wonderful bedside manner.

#22023-11-30

ON Time

#32023-07-22

The office staff is extremely friendly and make you feel very comfortable, along with Dr. Ringpfeil.

#42011-05-05 14:42:55

The professionalism yet friendliness of the entire staff

#52023-08-18

The art on the walls.

#62023-06-15

Everything was great.

#72010-11-10 10:00:27

the cute scrubs:-) knowledge of the dr. and staff.

#82024-02-03

as a man and coming in to see a doctor is usually awkward especially a female doctor to look over your entire body. The staff made me feel very comfortable and relaxed. Thanks so much.

#92024-04-06

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

#102024-03-20

What can we do better?

(answers:373)

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.

#12011-02-14 14:14:53

NO COMMENT AT THIS TIME.

#22023-06-15

It was a very good visit! Thank You!

#32023-10-11

open an office in NJ

#42024-02-12

Almost too methodical - thought of one more 15 second type question after Dr. left re one spot not noted - would have waited some time to have her look at it. Told no time until lunch.

#52011-11-03 10:28:10

Just continue your good work to keep your credibility in place.

#62010-10-12 10:33:59

Not a lot to improve on service is already top notch.

#72010-09-30 11:25:20

Top rate service. A great total experience.

#82023-09-12

nothing

#92010-09-13 14:34:51

A follow up, even if its an email, after the apt. could help!

#102010-08-23 16:38:55

Customer Rating : 4.6

Based on 537 ratings
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