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Onychomycosis (Tinea unguium, Nail fungal infection)

Are You Confident of the Diagnosis? What you should be looking for in the history The diagnosis of onychomycosis is made based on history, physical examination, and diagnostic studies. Patients with onychomycosis often complain of nail discoloration, brittleness, or thickening, that often becomes worse with time. Nails affected by onychomycosis can cause local pain, social…
Infectious Diseases

Superficial Mycoses: Dermatophytosis

OVERVIEW: What every clinician needs to know Pathogen name and classification Superficial mycoses: dermatophytosis Synonyms Tinea capitis (ringworm of the scalp), kerion, tinea faciei (face), tinea barbae (barber’s itch, tinea sycosis, ringworm of the beard), tinea corporis (ringworm of the body, tinea circinata, tinea glabrosa), Majocchi granuloma, tinea imbricata, tinea cruris (ringworm of the groin,…

Options for onychomycosis

What is an effective alternative to oral medications or topical ciclopirox (Penlac) for onychomycosis?

Stubborn onychomycosis

My patient's onychomycosis is responding poorly despite treatment with terbinafine and itraconazole. What do you suggest I do next?
Dermatologic Look-Alikes

Dystrophies of the nail

Two patients present with dystrophies of the nail—one with a several-year history of yellowed toenails and the other with grooved thumbnails.

Onychomycosis diagnosis

What is the most sensitive test to use when trying to diagnose toenail fungus?
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