Monday 14 July 2014

Dermatology Made Simple : Fungal Infections of the Nails

Fungal Infections of the Nails

Onychomycosis:

This usually affects toenails.

The distal part of the nail is affected first.

This is followed by spreading of the disease to proximal parts of the nails.

The affected nail becomes brittle and thickened and colred yellow.

Management:

Topical treatment:

This is used for distal nail disease of mild type.

This includes : amorolfine and ciclopirox olamine 8 % solutions

Sodium pyrithione and imidazoles.

Systemic Therapy:


This includes Terbinafine 250 mg daily for 142 days. 

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