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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: 11/10/2022 8:45 PM

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What WE DID WELL

(Answers:674)

The staff was knowlegable in answering any additional questions I may have

#12022-05-04

Office staff was very polite and Dr was very thorough and everything was automated!

#22022-05-21

the people

#32022-09-07

Did not have to wait long.

#42022-11-17

I was very impressed by everyone I had contact with on the staff - they were so personable as well as professional which goes a very long way with me! The office itself is also beautiful, I love the artwork and the entire atmosphere!

#52011-12-14 13:47:03

Office atmosphere was wonderful, which made the experience that much better. It was nice to see Dr. Ringfeil in a not so hectic setting (like Jefferson Dermatology!)

#62022-03-03

Everyone is extremely nice and professional. I like the fact that the office is utilizing technology for things such as consent forms and patient information forms rather than paper. Good for the environment!

#72010-12-01 12:08:05

It's great that you're using electronic means to capture patient information. Everyone is very friendly and competent and the doctor was wonderful to talk to.

#82022-05-13

The friendliness of everyone I came in contact with

#92022-10-22

Everything was good. I like this place.

#102022-04-23

What can we do better?

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I couldn't find any parking.

#12022-09-28

Can't everything was excellent!!!

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service was excellent

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It was a perfect experioence, I wouldn't change a thing!

#42022-05-22

The experience was very pleasant, and relaxed. I would not recommend changing anything!

#52022-07-19

No comments, everything is great.

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nothing just keep up the good work.

#72022-02-06

I wish there is a more flexible schedule for the morning visit.

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just keep giving me good news and no cancer.

#92022-07-06

Keep up the thinks you are doing....

#102022-04-11

Customer Rating : 4.6

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