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Fungal
nail infections - a short introduction.
What
is it?
Fungal nail infection is
also known as onychomycosis.
It is a very common problem. It can be caused by several types of
micro-organisms: dermatophytes
(such as Trichophyton rubrum),
yeasts
(such as Candida albicans and
Candida parapsilosis)
and moulds
(mainly Fusarium
species).
Symptoms
of
fungal nail infection.
Fungal nail infection is
most common in toe nails. Infection of fingernails is quite rare.
Infection by dermatophytes can present itself with a discoloration of
parts of the nail. This change can be a yellow or white opaque area
either at one side of the nail or near the base of the nail. Also,
keratosis under the distal part of the nails can occur. Infection of
the nail with moulds result in the same clinical picture as with
dermatophytes. Infection with yeasts such as candida species can result
in green, yellow or white color changes of the nail. Very often a
paronychia due to a Candida infection accompanies or precedes the
changes of the nailplate.
What
is
the
cause?
Infection of the nail may
be the result of a neglected fungal infection of the skin.
Treatment
Mild fungal nail
infections can be treated with topical antifungal preparations such as
amorolfine and ciclopiroxolamine. However, in many cases combined
topical and oral therapy may prove to be the best way to treat fungal
nail infection.
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