Fungi on nails: A difficult enemy
The appearance of the nails is among other things, a mirror of the overall health of our body. Many systemic diseases have manifestations of nails. Changes in color, hardness, thickness, and overall quality and appearance of the nail may be an event or other dermatological disease.
A very common problem that concerns both men and women is to attack toenails from fungus. Toenail account for 30% of cases of infection by fungus on the skin surface. Fungi are divided into three genera: the hair, dermatophytes and microspores.
Clinically there are 4 types of attack:
Peripheral onychomycosis starting to attack the free edge of the nail and then extended to hyponychium.
White superficial onychomycosis with violating the onychiaias plate turns white and opaque.
Near subungual onychomycosis starting to attack the nail adjacent to subungual (foreskin).
Candidal onychomycosis, wherein the fungus is responsible Candida albicans and nail lesions starting from the proximal aspect and the sides of the nail, and may be present and inflammation with pain and swelling in perionychio. Usually no treatment affected the entire nail.
Generally the infected fungal nail disorders have in their color (white, green, yellow, brown or black), which is sometimes indicative of the type of fungus. Also nails can show thickening, brittleness or onycholysis.
Usually they affected one or two nails in each foot, while the universal attack nail is either indicative of another disease (eg psoriasis, lichen, etc.) or present in extremely neglected periptoseis.Merikes times onychomycosis coexists with the soles skin mycosis .
The diagnosis is made by direct microscopy and culture of the fungus scratching the affected area in order to isolate turnings nail contain several fungal hyphae cultivation.
For this purpose not being cultured in nails have applied antiseptics (e.g. Betadine), antifungal creams, powders, lacquers for at least one month, and should not be taken antifungal pills for 3 months prior to culture. Also nail polish remover to have at least 10 days before the crop.
Treatment of incipient situations can be done with local antifungal products, usually in the form of lacquer (imidazoles, amorolfine, allilamines) but the patient must consistently and perseverance to follow treatment for 3-6 months and recurrence rate of up to 50%.
In more advanced cases it is necessary to take antifungal pills with different dosage forms, but usually with intermittent therapy duration pulses of 6-9 months. In some antifungals would be good monitoring of liver function during treatment. There are 3 categories chapion- itraconazole, terbinafine and floukonazoli- and there old generation antifungal, griseofulvin, with rare indications.
Have the dermatologist take into account with concomitant use of other drugs from the patient (eg anticoagulants) interactions between drugs.
Finally no cure fungi the dermatologist Nd Yag laser at 1064 nm (S30 PODYLAS) and it takes 3-4 treatments with an interval of 15 days in affected nails.
The measures should take one for relapse prevention are: good hygiene of the feet with good drying, avoid synthetic socks and shoes. If ringworm soles should be treated to prevent them catching then and nails.
Avoiding trauma pedicure and sterilizing pedicure kit is necessary. Some mistakenly believe that Toenail if the nail surgically make the new will emerge healthy, which is not true unnecessarily undergoing traumatic diadikasia.O dermatologist is the right doctor to diagnose an underlying cause, if any, and to give effective treatment.
A very common problem that concerns both men and women is to attack toenails from fungus. Toenail account for 30% of cases of infection by fungus on the skin surface. Fungi are divided into three genera: the hair, dermatophytes and microspores.
Clinically there are 4 types of attack:
Peripheral onychomycosis starting to attack the free edge of the nail and then extended to hyponychium.
White superficial onychomycosis with violating the onychiaias plate turns white and opaque.
Near subungual onychomycosis starting to attack the nail adjacent to subungual (foreskin).
Candidal onychomycosis, wherein the fungus is responsible Candida albicans and nail lesions starting from the proximal aspect and the sides of the nail, and may be present and inflammation with pain and swelling in perionychio. Usually no treatment affected the entire nail.
Generally the infected fungal nail disorders have in their color (white, green, yellow, brown or black), which is sometimes indicative of the type of fungus. Also nails can show thickening, brittleness or onycholysis.
Usually they affected one or two nails in each foot, while the universal attack nail is either indicative of another disease (eg psoriasis, lichen, etc.) or present in extremely neglected periptoseis.Merikes times onychomycosis coexists with the soles skin mycosis .
The diagnosis is made by direct microscopy and culture of the fungus scratching the affected area in order to isolate turnings nail contain several fungal hyphae cultivation.
For this purpose not being cultured in nails have applied antiseptics (e.g. Betadine), antifungal creams, powders, lacquers for at least one month, and should not be taken antifungal pills for 3 months prior to culture. Also nail polish remover to have at least 10 days before the crop.
Treatment of incipient situations can be done with local antifungal products, usually in the form of lacquer (imidazoles, amorolfine, allilamines) but the patient must consistently and perseverance to follow treatment for 3-6 months and recurrence rate of up to 50%.
In more advanced cases it is necessary to take antifungal pills with different dosage forms, but usually with intermittent therapy duration pulses of 6-9 months. In some antifungals would be good monitoring of liver function during treatment. There are 3 categories chapion- itraconazole, terbinafine and floukonazoli- and there old generation antifungal, griseofulvin, with rare indications.
Have the dermatologist take into account with concomitant use of other drugs from the patient (eg anticoagulants) interactions between drugs.
Finally no cure fungi the dermatologist Nd Yag laser at 1064 nm (S30 PODYLAS) and it takes 3-4 treatments with an interval of 15 days in affected nails.
The measures should take one for relapse prevention are: good hygiene of the feet with good drying, avoid synthetic socks and shoes. If ringworm soles should be treated to prevent them catching then and nails.
Avoiding trauma pedicure and sterilizing pedicure kit is necessary. Some mistakenly believe that Toenail if the nail surgically make the new will emerge healthy, which is not true unnecessarily undergoing traumatic diadikasia.O dermatologist is the right doctor to diagnose an underlying cause, if any, and to give effective treatment.
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