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Mycopathologia. 2017 Feb;182(1-2):95-100. doi: 10.1007/s11046-016-0078-4. Epub 2016 Oct 27.

Tinea Unguium: Diagnosis and Treatment in Practice.

Author information

1
Mycology Section, "Dr. Manuel Gea Gonzalez" General Hospital, Av. Calzada de Tlalpan 4800, Tlalpan, Sección XVI, 14080, Cuidad de Mexico, D.F., Mexico. dasck@hotmail.com.
2
Department of Dermatology and Cutaneous Surgery, University of Miami Hospital, 1295 NW 14th St, South Bldg, Stes K, L & M, Miami, FL, 33136, USA.
3
Mycology Section, "Dr. Manuel Gea Gonzalez" General Hospital, Av. Calzada de Tlalpan 4800, Tlalpan, Sección XVI, 14080, Cuidad de Mexico, D.F., Mexico.

Abstract

Onychomycosis is caused by dermatophytes, yeasts or non-dermatophyte molds; when caused by dermatophytes, it is called tinea unguium. The main etiological agents are Trichophyton rubrum and Trichophyton interdigitale. The most frequent types are distal and lateral subungual onychomycosis. Diagnosis usually requires mycological laboratory confirmation. Dermoscopy can be helpful and also biopsy is an excellent diagnostic method in uncommon cases or when mycological test is negative. Treatment must be chosen according to clinical type, number of affected nails and severity. The goal for antifungal therapy is the clearing of clinical signs or mycological cure.

KEYWORDS:

Antifungal therapy; Dermatophytes; Dermoscopy; Onychomycosis; Tinea unguium

PMID:
27787643
DOI:
10.1007/s11046-016-0078-4
[Indexed for MEDLINE]

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