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46 Results Found

  • Article
  • Open Access
18 Citations
4,457 Views
17 Pages

Formulation of Tioconazole and Melaleuca alternifolia Essential Oil Pickering Emulsions for Onychomycosis Topical Treatment

  • Barbara Vörös-Horváth,
  • Sourav Das,
  • Ala’ Salem,
  • Sándor Nagy,
  • Andrea Böszörményi,
  • Tamás Kőszegi,
  • Szilárd Pál and
  • Aleksandar Széchenyi

26 November 2020

Onychomycosis is a disease that affects many adults, whose treatment includes both oral and topical therapies with low cure rates. The topical therapy is less effective but causes fewer side effects. This is why the development of an effective, easy...

  • Article
  • Open Access
9 Citations
3,344 Views
16 Pages

The Plant Defensin Ppdef1 Is a Novel Topical Treatment for Onychomycosis

  • Nicole L. van der Weerden,
  • Kathy Parisi,
  • James A. McKenna,
  • Brigitte M. Hayes,
  • Peta J. Harvey,
  • Pedro Quimbar,
  • Sean R. Wevrett,
  • Prem K. Veneer,
  • Owen McCorkelle and
  • Marilyn A. Anderson
  • + 9 authors

17 November 2023

Onychomycosis, or fungal nail infection, causes not only pain and discomfort but can also have psychological and social consequences for the patient. Treatment of onychomycosis is complicated by the location of the infection under the nail plate, mea...

  • Article
  • Open Access
7,539 Views
14 Pages

An Assessment of the Antifungal Efficacy of a Novel Topical Onychomycosis Treatment Using Human Nail and Skin Infection Models

  • Anthony Brown,
  • Felipe Goñi-de-Cerio,
  • Ainhoa Bilbao,
  • Adrià Ribes,
  • Antonio R. Fernández de Henestrosa,
  • Ludmila Prudkin,
  • Paola Perugini and
  • Mónica Foyaca

29 April 2025

Onychomycosis, a fungal nail infection, affects about 4% of the global population. Current topical antifungals like ciclopirox and amorolfine have limited effectiveness, highlighting the need for better treatments. WSNS-PO is a novel water-soluble th...

  • Review
  • Open Access
20 Citations
8,400 Views
15 Pages

Novel and Investigational Treatments for Onychomycosis

  • Stamatios Gregoriou,
  • Maria Kyriazopoulou,
  • Aikaterini Tsiogka and
  • Dimitrios Rigopoulos

14 October 2022

Onychomycosis is a common nail disease caused by fungi. The primary pathogens are dermatophytes; however, yeasts, non-dermatophyte moulds, and mixed fungal populations may also contribute to the development of a recalcitrant condition, usually accomp...

  • Article
  • Open Access
14 Citations
6,912 Views
16 Pages

Antifungal Nail Lacquer for Enhanced Transungual Delivery of Econazole Nitrate

  • Vinam Puri,
  • Riya Savla,
  • Kevin Chen,
  • Keyaara Robinson,
  • Amitkumar Virani and
  • Bozena Michniak-Kohn

The fungal disease of the nail, onychomycosis, which is also the most prevalent nail disturbance, demands effective topical treatment options considering the possible adverse effects of systemic antifungal therapy. The current work is focused on deve...

  • Article
  • Open Access
8 Citations
4,982 Views
13 Pages

Polyurethanes as New Excipients in Nail Therapeutics

  • Barbara S. Gregorí Valdes,
  • Ana Paula Serro,
  • Joana Marto,
  • Rui Galhano dos Santos,
  • Elena Cutrín Gómez,
  • Francisco J. Otero-Espinar,
  • João Moura Bordado and
  • Helena Margarida Ribeiro

Onychomycosis affects about 15% of the population. This disease causes physical and psychosocial discomfort to infected patients. Topical treatment (creams, solutions, gels, colloidal carriers, and nail lacquers) is usually the most commonly required...

  • Article
  • Open Access
35 Citations
3,676 Views
13 Pages

The Unique Carboxymethyl Fenugreek Gum Gel Loaded Itraconazole Self-Emulsifying Nanovesicles for Topical Onychomycosis Treatment

  • Ali Alqahtani,
  • Bhavana Raut,
  • Shagufta Khan,
  • Jamal Moideen Muthu Mohamed,
  • Adel Al Fatease,
  • Taha Alqahtani,
  • Ali Alamri,
  • Fazil Ahmad and
  • Venkatesan Krishnaraju

14 January 2022

The novel itraconazole (ITZ) nail penetration enhancing self-emulsifying nanovesicles (ITZ-nPEVs) loaded in carboxymethyl fenugreek gum (CMFG) gel circumvent the systemic onychomycosis treatment. The ITZ-nPEVs were prepared by the thin film hydration...

  • Article
  • Open Access
6 Citations
2,774 Views
10 Pages

Red-Laser Photodynamic Therapy with Toluidine Blue Gel as an Adjuvant to Topical Antifungal Treatments for Onychomycosis in Patients with Diabetes: A Prospective Case Series

  • David Navarro-Pérez,
  • Sara García-Oreja,
  • Francisco Javier Álvaro-Afonso,
  • Mateo López-Moral,
  • José Luis Lázaro-Martínez and
  • Aroa Tardáguila-García

26 February 2025

Background: Systemic therapy is frequently utilized because of its easy accessibility, low cost, and high efficacy. However, it can be linked with systemic adverse effects and drug–drug interactions, especially in immunocompromised and poly-med...

  • Article
  • Open Access
30 Citations
4,696 Views
28 Pages

Superficial fungal diseases of the skin and nails are an increasingly common occurrence globally, requiring effective topical treatment to avoid systemic adverse effects. Polymeric nanoparticles have demonstrated sustained and effective drug delivery...

  • Article
  • Open Access
21 Citations
7,043 Views
8 Pages

19 October 2017

Use of oral antifungals in the treatment of onychomycosis is commonplace; but their use can be limited by safety and patient concerns. Due to their broader safety margins, topical antifungals (efinaconazole, tavaborole, and ciclopirox) are a useful o...

  • Review
  • Open Access
57 Citations
12,471 Views
10 Pages

Challenges and Opportunities in the Management of Onychomycosis

  • Julia K. Christenson,
  • Gregory M. Peterson,
  • Mark Naunton,
  • Mary Bushell,
  • Sam Kosari,
  • Kavya E. Baby and
  • Jackson Thomas

24 July 2018

Onychomycosis is an increasingly common fungal nail infection, chiefly caused by dermatophyte fungi. The disease is notoriously difficult to treat due to the deep-seated nature of fungi within the nail plate, prolonged treatment requirements, poor pa...

  • Review
  • Open Access
123 Citations
66,693 Views
14 Pages

Onychomycosis: A Review

  • Bianca Maria Piraccini and
  • Aurora Alessandrini

27 March 2015

Onychomycosis is the most common nail infective disorder. It is caused mainly by anthropophilic dermatophytes, in particular by Trichophyton rubrum and T. mentagrophytes var. interdigitale. Yeasts, like Candida albicans and C. parapsilosis, and molds...

  • Article
  • Open Access
27 Citations
5,922 Views
8 Pages

An Assessment of In Vitro Antifungal Activities of Efinaconazole and Itraconazole against Common Non-Dermatophyte Fungi Causing Onychomycosis

  • Ananya Tupaki-Sreepurna,
  • Bhavna T. Jishnu,
  • Vijayakishore Thanneru,
  • Savitri Sharma,
  • Anjana Gopi,
  • Murugan Sundaram and
  • Anupma Jyoti Kindo

5 May 2017

Onychomycosis is a fungal nail infection which is relatively common and difficult to treat. Treatment modalities include nail avulsion, surgical debridement and combination therapy with oral and topical antifungal drugs. In spite of a host of availab...

  • Article
  • Open Access
25 Citations
4,794 Views
11 Pages

Risk Factors and Treatment Trends for Onychomycosis: A Case–Control Study of Onychomycosis Patients in the All of Us Research Program

  • Samantha Jo Albucker,
  • Julianne M. Falotico,
  • Zi-Ning Choo,
  • Justin T. Matushansky and
  • Shari R. Lipner

29 June 2023

Introda significant: Onychomycosis is the most common nail disorder seen in clinical practice, and it may have significant impact on patient quality of life. Understanding risk factors for onychomycosis may help to devise screening and treatment guid...

  • Review
  • Open Access
20 Citations
8,553 Views
12 Pages

The Dermatologist’s Approach to Onychomycosis

  • Jenna N. Queller and
  • Neal Bhatia

19 August 2015

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 p...

  • Article
  • Open Access
38 Citations
5,216 Views
17 Pages

Itraconazole and Difluorinated-Curcumin Containing Chitosan Nanoparticle Loaded Hydrogel for Amelioration of Onychomycosis

  • Prashant Kesharwani,
  • Mahak Fatima,
  • Vanshikha Singh,
  • Afsana Sheikh,
  • Waleed H. Almalki,
  • Virendra Gajbhiye and
  • Amirhossein Sahebkar

Onychomycosis is a nail infection caused by a fungus, Trichophyton mentagrophytes, that is responsible for major nail infections. The best method suited for treating such infections generally includes a topical remedy. However, conventional oral or t...

  • Review
  • Open Access
6 Citations
14,839 Views
8 Pages

Efinaconazole Topical Solution, 10%: Factors Contributing to Onychomycosis Success

  • Richard A. Pollak,
  • William J. Jo Siu,
  • Yoshiyuki Tatsumi and
  • Radhakrishnan Pillai

3 July 2015

To provide an adequate therapeutic effect against onychomycosis, it has been suggested that topical drugs should have two properties: drug permeability through the nail plate and into the nail bed, and retention of their antifungal activity in the di...

  • Article
  • Open Access
2 Citations
13,986 Views
16 Pages

25 August 2021

(1) Background: Onychomycosis accounts for 50% of nail pathologies and is a therapeutic challenge due to an increase in resistance to antifungal agents. This study aimed to explore the effectiveness of 1064 nm diode laser irradiation for the treatmen...

  • Article
  • Open Access
7 Citations
4,287 Views
11 Pages

Raman Microspectroscopy as a Tool to Elucidate the Efficacy of Topical Formulations Containing Curcumin

  • Ievgeniia Iermak,
  • Ana Paula da Silva,
  • Cristina Kurachi,
  • Vanderlei Salvador Bagnato and
  • Natalia Mayumi Inada

The success of the onychomycosis treatment is directly associated with factors such as the choice of the medication, the administration route, and the pharmaceutical formulation. Photodynamic therapy (PDT) is an emerging and promising technique indic...

  • Article
  • Open Access
1 Citations
1,278 Views
14 Pages

Penetration and Preliminary Efficacy of a Novel Nitric Oxide-Releasing Gel for Onychomycosis

  • Aditya K. Gupta,
  • Elizabeth A. Cooper,
  • Harmanpreet Kaur,
  • James Martins,
  • Simon J. L. Teskey and
  • Chris C. Miller

30 October 2025

Onychomycosis is a therapeutically challenging fungal infection. Systemic antifungals are limited by adverse effects and drug interactions, while topical therapies may fail to achieve therapeutic nail bed concentrations. Nitric oxide (NO), a small, d...

  • Review
  • Open Access
13 Citations
10,702 Views
11 Pages

Laser Therapy for Onychomycosis: Fact or Fiction?

  • Lucette Teel Liddell and
  • Ted Rosen

3 April 2015

Onychomycosis is a common fungal infection, afflicting some 10% of the adult population in industrialized countries. Aside from cosmetic concerns, onychomycosis can be the cause of toe and foot pain, as well as the underlying etiology for serious sec...

  • Article
  • Open Access
13 Citations
5,619 Views
10 Pages

12 March 2021

To evaluate the combination effects of anti-onychomycosis drugs, the minimum inhibitory concentrations of topical (efinaconazole, luliconazole, and tavaborole) and oral (itraconazole and terbinafine) drugs for Trichophyton rubrum and Trichophyton int...

  • Article
  • Open Access
3 Citations
8,825 Views
13 Pages

Diode Laser and Red-Laser Photodynamic Therapy with Toluidine Blue Gel for the Treatment of Onychomycosis: A Case Series

  • Sara García-Oreja,
  • Francisco Javier Álvaro-Afonso,
  • Aroa Tardáguila-García,
  • David Navarro-Pérez,
  • Esther Alicia García-Morales and
  • José Luis Lázaro-Martínez

Background: Onychomycosis is the most prevalent nail disease, posing a challenge for health professionals in terms of treatment. Conventional topical antifungal treatments can often prove insufficient, and the use of oral antifungal drugs carries a h...

  • Review
  • Open Access
3 Citations
3,958 Views
24 Pages

Onychomycosis in Diabetics: A Common Infection with Potentially Serious Complications

  • Aditya K. Gupta,
  • Amanda Liddy,
  • Lee Magal,
  • Avner Shemer,
  • Elizabeth A. Cooper,
  • Ditte Marie L. Saunte and
  • Tong Wang

13 August 2025

Onychomycosis is a prevalent and clinically relevant complication among individuals with diabetes. It is associated with an elevated risk of secondary fungal and bacterial infections, foot ulceration, and, in advanced cases, amputation. Factors contr...

  • Review
  • Open Access
52 Citations
10,446 Views
10 Pages

22 February 2019

Onychomycosis is mainly caused by two dermatophyte species, Trichophyton rubrum and Trichophyton interdigitale. A study of nail invasion mechanisms revealed that the secreted subtilisin Sub6, which has never been detected under in vitro growth condit...

  • Article
  • Open Access
341 Views
10 Pages

Background: Onychomycosis is a common nail infection primarily caused by Trichophyton rubrum, posing therapeutic challenges due to poor antifungal penetration and high recurrence rates. Conventional treatments include topical and systemic antifungals...

  • Article
  • Open Access
10 Citations
5,034 Views
7 Pages

Combination of Photodynamic Therapy and Oral Antifungals for the Treatment of Onychomycosis

  • Alba Navarro-Bielsa,
  • Tamara Gracia-Cazaña,
  • Pilar Robres,
  • Concepción Lopez,
  • María Dolores Calvo-Priego,
  • Carmen Aspiroz and
  • Yolanda Gilaberte

Onychomycosis accounts for 50% of nail disorders, making it one of the most prevalent fungal diseases and a therapeutic challenge. Photodynamic therapy (PDT) could constitute a therapeutic alternative, owing to its good adherence, the low probability...

  • Article
  • Open Access
5 Citations
5,001 Views
12 Pages

30 August 2024

Introduction: Efinaconazole 10% topical solution labeling for onychomycosis describes phase III trials of 12 months of treatment; the slow growth of onychomycotic nails suggests a longer treatment period may increase efficacy. We present here the fir...

  • Systematic Review
  • Open Access
8 Citations
3,910 Views
14 Pages

Artificial Intelligence in the Diagnosis of Onychomycosis—Literature Review

  • Barbara Bulińska,
  • Magdalena Mazur-Milecka,
  • Martyna Sławińska,
  • Jacek Rumiński and
  • Roman J. Nowicki

30 July 2024

Onychomycosis is a common fungal nail infection that is difficult to diagnose due to its similarity to other nail conditions. Accurate identification is essential for effective treatment. The current gold standard methods include microscopic examinat...

  • Article
  • Open Access
13 Citations
3,589 Views
16 Pages

Therapeutic Textiles Functionalized with Keratin-Based Particles Encapsulating Terbinafine for the Treatment of Onychomycosis

  • André F. Costa,
  • Salomé Luís,
  • Jennifer Noro,
  • Sónia Silva,
  • Carla Silva and
  • Artur Ribeiro

13 November 2022

Onychomycosis is the most common nail fungal infection worldwide. There are several therapy options available for onychomycosis, such as oral antifungals, topicals, and physical treatments. Terbinafine is in the frontline for the treatment of onychom...

  • Article
  • Open Access
15 Citations
4,041 Views
8 Pages

Transungual Delivery of Ciclopirox Is Increased 3–4-Fold by Mechanical Fenestration of Human Nail Plate in an In Vitro Model

  • Damian Cordoba Díaz,
  • Marta Elena Losa Iglesias,
  • Ricardo Becerro de Bengoa Vallejo and
  • Manuel Cordoba Diaz

Onychomycosis is a fungal infection of nails that is widespread and difficult to treat because of the impermeable nature of human nails. Topically applied anti-fungal agents cannot penetrate this structure, and treatment regimens often resort to syst...

  • Article
  • Open Access
5 Citations
3,265 Views
14 Pages

Performance of Two Extracts Derived from Propolis on Mature Biofilm Produced by Candida albicans

  • Isabella Letícia Esteves Barros,
  • Flávia Franco Veiga,
  • Lidiane Vizioli de Castro-Hoshino,
  • Monique Souza,
  • Amanda Milene Malacrida,
  • Beatriz Vesco Diniz,
  • Rafaela Said dos Santos,
  • Marcos Luciano Bruschi,
  • Mauro Luciano Baesso and
  • Terezinha Inez Estivalet Svidzinski
  • + 1 author

Species of the Candida genus represent the third most common cause of onychomycosis, the most frequent and difficult to treat nail infection. Onychomycosis has been attributed to fungi organized in biofilm and some natural products have proved promis...

  • Article
  • Open Access
4 Citations
4,044 Views
15 Pages

Efficacy of Propolis Gel on Mature Biofilm Formed by Neocosmospora keratoplastica Isolated from Onychomycosis

  • Polyana de Souza Costa,
  • Elton Cruz,
  • Flávia Veiga,
  • Isabelle Carrilho Jarros,
  • Melyssa Negri and
  • Terezinha Inez Estivalet Svidzinski

17 November 2022

This article describes Neocosmospora keratoplastica as an etiological onychomycosis agent. Ex vivo studies were initially performed to demonstrate the ability of this species to grow and form a well-organized characteristic biofilm on sterilized heal...

  • Review
  • Open Access
2,438 Views
17 Pages

Superficial Fungal Infections in Children—What Do We Know?

  • Katarzyna Rychlik,
  • Julia Sternicka-Rohde,
  • Roman J. Nowicki,
  • Leszek Bieniaszewski and
  • Dorota Purzycka-Bohdan

18 October 2025

Superficial fungal infections are common conditions affecting the skin, hair, and nails, primarily caused by dermatophytes, yeasts, and less frequently, molds. Humid climates, prolonged summer seasons, immunodeficiencies, diabetes and socioeconomic f...

  • Review
  • Open Access
2,158 Views
14 Pages

Treating Onychomycosis with Efinaconazole: Considerations for Diverse Patient Groups

  • Aditya K. Gupta,
  • Daniel Taylor,
  • Daniel Dennis,
  • Tong Wang and
  • Elizabeth A. Cooper

28 November 2025

Onychomycosis is a common nail disease that manifests with varying severity and frequency in specific patient populations, warranting a personalized treatment approach. Novel topical antifungals, such as efinaconazole 10% approved for use in North Am...

  • Article
  • Open Access
8 Citations
3,391 Views
22 Pages

Design, Development, and Evaluation of Constant Voltage Iontophoresis for the Transungual Delivery of Efinaconazole

  • Anroop B. Nair,
  • Bandar Aldhubiab,
  • Jigar Shah,
  • Shery Jacob,
  • Mahesh Attimarad,
  • Nagaraja Sreeharsha,
  • Katharigatta N. Venugopala,
  • Alex Joseph and
  • Mohamed A. Morsy

The efficacy of topical antifungal therapy in onychomycosis has been hindered by the failure of the antimycotic to permeate the nail plate. This research aims to design and develop a transungual system for the effective delivery of efinaconazole util...

  • Article
  • Open Access
8 Citations
4,175 Views
12 Pages

Effect of Penetration Enhancers on Toenail Delivery of Efinaconazole from Hydroalcoholic Preparations

  • Jun Soo Park,
  • Jeong Soo Kim,
  • Myoung Jin Ho,
  • Dong Woo Park,
  • Eun A. Kim,
  • Yong Seok Choi,
  • Sun Woo Jang and
  • Myung Joo Kang

16 March 2021

The incorporation of permeation enhancers in topical preparations has been recognized as a simple and valuable approach to improve the penetration of antifungal agents into toenails. In this study, to improve the toenail delivery of efinaconazole (EF...

  • Article
  • Open Access
21 Citations
5,557 Views
25 Pages

In Silico Drug Screening Based Development of Novel Formulations for Onychomycosis Management

  • Mahak Fatima,
  • Sadia Monawwar,
  • Sradhanjali Mohapatra,
  • Thomson Santosh Alex,
  • Abdulrahman Ahmed,
  • Mohamad Taleuzzaman,
  • Asgar Ali,
  • Mohammad Javed Ansari,
  • Mohd. Aamir Mirza and
  • Zeenat Iqbal

18 November 2021

Onychomycosis is a prominent fungal infection that causes discoloration, thickening, and mutilation leading to the separation of the nail from the nail bed. Treatment modalities for onychomycosis may include oral, topical, or combination therapy with...

  • Article
  • Open Access
3,344 Views
15 Pages

4 April 2025

An in vitro 3D model using fungus colonized Reconstructed Human Epidermis (RHE) represents an effective preclinical model to simulate the pathological conditions of onychomycosis. We evaluated the suitability of this 3D onychomycosis model and use it...

  • Review
  • Open Access
1,341 Views
25 Pages

Nanocarriers in Ungual Drug Delivery

  • Sheila Porto de Matos,
  • Karen de Oliveira Araujo,
  • Tainá Kreutz,
  • Valdir Florêncio da Veiga Júnior,
  • Helder Ferreira Teixeira and
  • Letícia Scherer Koester

Ungual disorders can impact quality of life, with onychomycosis and nail psoriasis being the most prevalent disorders among the general population. In humans, the main functions of the nail apparatus comprise protection against trauma, improvement of...

  • Review
  • Open Access
45 Citations
8,978 Views
26 Pages

Organoboron Compounds: Effective Antibacterial and Antiparasitic Agents

  • Paolo Saul Coghi,
  • Yinghuai Zhu,
  • Hongming Xie,
  • Narayan S. Hosmane and
  • Yingjun Zhang

The unique electron deficiency and coordination property of boron led to a wide range of applications in chemistry, energy research, materials science and the life sciences. The use of boron-containing compounds as pharmaceutical agents has a long hi...

  • Article
  • Open Access
5 Citations
2,485 Views
18 Pages

New Formulation–Microporation Combination Approaches to Delivering Ciclopirox across Human Nails

  • Juliana Kishishita,
  • Camila de Almeida Perez Pimenta,
  • Danielle Patricia Cerqueira Macedo,
  • M. Begoña Delgado-Charro and
  • Leila Bastos Leal

Topical treatments for onychomycosis are of interest to those seeking to avoid systemic drug interactions and to improve systemic safety. This work aimed to develop aqueous-based, simple, and cost-effective vehicles that provide high solubility for c...

  • Article
  • Open Access
18 Citations
2,628 Views
18 Pages

16 June 2023

This work investigates the synthesis of linalool-containing invasomes for terbinafine (TBF-IN) in order to increase the solubility, bioavailability, and nail permeability of terbinafine (TBF) for transungual administration. TBF-IN was created utilisi...

  • Case Report
  • Open Access
28 Citations
6,349 Views
8 Pages

A Terbinafine Sensitive Trichophyton indotineae Strain in Italy: The First Clinical Case of tinea corporis and onychomycosis

  • Silvia Crotti,
  • Deborah Cruciani,
  • Sara Spina,
  • Vincenzo Piscioneri,
  • Ylenia Natalini,
  • Giovanni Pezzotti,
  • Michela Sabbatucci and
  • Manuela Papini

22 August 2023

Trichophyton indotineae is an emerging dermatophyte species that plays a relevant role in human healthcare. It has been associated with severe chronic skin infections and a high level of terbinafine resistance. T. indotineae is endemic to India, Iran...

  • Article
  • Open Access
1,645 Views
17 Pages

Dermatophyte-Selective Imidazole-Thiosemicarbazides: Potent In Vitro Activity Against Trichophyton and Microsporum with No Anti-Candida Effect

  • Agata Paneth,
  • Katarzyna Dzitko,
  • Adrian Bekier,
  • Nazar Trotsko,
  • Katarzyna Suśniak,
  • Anita Ciesielska and
  • Piotr Paneth

26 September 2025

Dermatophytes are highly infectious pathogenic fungi that colonize keratinized tissues like skin, hair, and nails, causing superficial infections such as tinea capitis, onychomycosis, tinea corporis, and tinea pedis in humans and animals. In immunoco...