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Onychomycosis
Onychomycosis

Onychomycosis

Introduction

It is defined as infection of the nail plate by fungus. Patients with diabetes or peripheral neuropathy may be at a higher risk.

Signs & symptoms

• Yellowish discoloration of the nail
• Subungual hyperkeratosis
• Over time lesions become more prominent and spread until the entire nail is affected

Diagnostic criteria

• Yellowish discoloration of the nail
• Subungual hyperkeratosis
• Over time lesions become more prominent and spread until the entire nail is affected

Investigation

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Treatment

  • Non-Pharmacological treatment

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  • Pharmacological

    •Terbinafine tabs (PO) 250 mg/day for 6-8 weeks. For toe nails the duration of treatment is generally 12–16 weeks.

    OR

    •Itraconazole (PO) is given as pulsed dosing, 200 mg 12 hourly for 1 week of each month for 6 months

    OR

    •Fluconazole (PO) 150-300mg once weekly for 6–12 months

    NOTE: Treat for 2 months when treating fingernail infection, and 4 months for toenails infection

Prevention

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Updated on,

3 Novemba 2020 11:17:08

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References

    1.STG
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