IDENTIFYING VARIOUS TYPES OF NAIL FUNGUS

TYPES OF NAIL FUNGUS

DSO & DSLO
(Distal subungual lateral onychomycosis)

PSO
(Proximal subungual onychomycosis)

WSO
(White superficial onychomycosis)

Candidal
Onychomycosis

SITE OF INITIAL INFECTION

APPEARANCE

AFFECTED AREA

Invasion of the nail at the hyponychium or nail tip (where you normally trim) or via the lateral folds on the sides and the infection works its way under & through the entire nail Thickened irregular nail with erosion of tip, separation from the nail bed, yellowbrown discoloration often caused by secondary bacterial infection Most common on toenails but can be seen on fingernails

Invasion of the proximal nail (near the cuticle) and then penetrating to the new growing nail plate beneath. Thin, regular nail with yellow-white discoloration near cuticle, destruction of the plate and separation of the nail plate at the cuticle Most common on toenails, very rare on fingernails Rare in general usually seen in diabetics, HIV and immune compromised patients HIV/AIDS, Diabetes Trichophyton rubrum

On the surface of the nail

Starts in surrounding soft tissues before spreading to nail

Thin nail with opaque white patches on the surface that can eventually spread to cover the entire surface Most common on toenails

Irregular and rough nail with yellow, white, green or black discoloration with redness and swelling of the surrounding soft tissues. Most common on fingernails 5-7% of cases but more common in immune compromised patients, diabetics and those taking antibiotics Chronic candidal infection of the skin and mucus membranes Candida albicans

FREQUENCY

The most common form (75-85%)

Roughly 10% of cases

ASSOCIATION WITH OTHER CONDITIONS MOST COMMON PATHOGEN

Athlete’s foot

Deep, diffuse form can be associated with HIV/AIDS Trichophyton interdigitale

Trichophyton rubrum

© 2012 by FixaFungus.com

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