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J. Fungi 2015, 1(2), 173-184; doi:10.3390/jof1020173

The Dermatologist’s Approach to Onychomycosis

1
Dermatology Chief Resident at Harbor-UCLA Medical Center, Torrance, CA 90502, USA
2
Director of Clinical Dermatology, Therapeutics Clinical Research, San Diego, CA 92123, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Theodore Rosen
Received: 24 June 2015 / Revised: 3 August 2015 / Accepted: 5 August 2015 / Published: 19 August 2015
(This article belongs to the Special Issue Cutaneous Fungal Diseases)
View Full-Text   |   Download PDF [675 KB, uploaded 19 August 2015]

Abstract

Onychomycosis is a fungal infection of the toenails or fingernails that can involve any component of the nail unit, including the matrix, bed, and plate. It is a common disorder that may be a reservoir for infection resulting in significant medical problems. Moreover, onychomycosis can have a substantial influence on one’s quality of life. An understanding of the disorder and updated management is important for all health care professionals. Aside from reducing quality of life, sequelae of the disease may include pain and disfigurement, possibly leading to more serious physical and occupational limitations. Dermatologists, Podiatrists, and other clinicians who treat onychomycosis are now entering a new era when considering treatment options—topical modalities are proving more effective than those of the past. The once sought after concept of viable, effective, well-tolerated, and still easy-to-use monotherapy alternatives to oral therapy treatments for onychomycosis is now within reach given recent study data. In addition, these therapies may also find a role in combination and maintenance therapy; in order to treat the entire disease the practitioner needs to optimize these topical agents as sustained therapy after initial clearance to reduce recurrence or re-infection given the nature of the disease. View Full-Text
Keywords: onychomycosis; onycholysis; subungual hyperkeratosis; recurrence; maintenance onychomycosis; onycholysis; subungual hyperkeratosis; recurrence; maintenance
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Queller, J.N.; Bhatia, N. The Dermatologist’s Approach to Onychomycosis. J. Fungi 2015, 1, 173-184.

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