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Introduction
Epidemology
Etiology
differential diagnosis
laboratory
management
Introduction
Onychomycosis :-
-T. Pedis
-Trauma
-Immunosupression
- HIV
- Drugs & transplant
-genetic
Etiology
* Is Caused by dermatophytes, nondermatophytes & yeasts
* Secondary onychomycosis
Distal lateral onychomycosis (DLSO)
*is the most common type
* Commonly start with a single nail but latter other digits involved
Superficial onychomycosis
* white and black
* Less common
* in AIDS patients
*uncommon
*involves the nail plate mainly from the proximal nail fold
1. primary TDO
*or in chronic
mucocutaneous candidosis
*In patients with CMC the whole nail unit is thickened as a result of
extensive hyperkeratosis then becomes totally dystrophic
2. Secondary TDO
*the nail plate crumbles away and the nail bed is thickened , ridged and
usually covered with debris.
*In many such cases the appearances of the nail are usually more typical
of the underlying condition,
3. To decrease transmission
1.Topical therapy
3. Surgical intervention
Topical therapeutic agents
1. Ciclopirox - is 8 % lacquer
2. Amorolfine
*It is the first member of a new class of anti fungal drugs, the
morpholine derivatives.
2. Systemic therapy
*Oral antifungals should be used for
*refractory,
*severe,
Terbinafine
Itraconazole
Fluconazole
Grisofulvin
* For Final refractory cases
- surgical avulsion
* cellulitis,
*osteomyelitis,
*sepsis
*tissue necrosis
Prevention
* avoiding use of communal bathing & communal nail instruments
* Avoiding trauma
Thank You!