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Fungal nail infections (aetiology (dermatophytes (trichophyton rubrum),…
Fungal nail infections
definition
onchomycosis is fungal infection of the nails
aetiology
dermatophytes
trichophyton rubrum
yeasts
candida
non-dermatophyte moulds
features
unsightly nails
thickened, rough, opaque nails
investigations
nail clippings
scrapings of affected nail
treatment
needs to be confirmed diagnosis before commencement of Rx
dermatophyte
oral terbinafine
oral itraconazole
6/52-3mo for fingernail
3-6mo for toenail
candida
topical antifungals
amorolfine
oral itraconazole for severe 12/52