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Onychomycosis nailed.

M Leelavathi1, Mn Noorlaily2

  • 1Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia.

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia
|January 22, 2015
PubMed
Summary

Onychomycosis, a common fungal nail infection, presents treatment challenges. Oral antifungals like terbinafine and itraconazole, potentially combined with topicals, offer effective management strategies for primary care physicians.

Keywords:
antifungal agentsitraconazoleonychomycosis

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Area of Science:

  • Dermatology
  • Mycology
  • Pharmacology

Background:

  • Fungal nail infection (onychomycosis) is prevalent and causes significant cosmetic concerns.
  • Variable treatment outcomes and persistent nail dystrophy can distress patients and physicians.
  • Effective management strategies are crucial for primary care physicians.

Purpose of the Study:

  • To review current treatment options for onychomycosis.
  • To guide primary care physicians in managing onychomycosis effectively.
  • To enhance physician confidence and achieve realistic treatment goals.

Main Methods:

  • Review of current literature on onychomycosis treatments.
  • Discussion of oral antifungal agents (terbinafine, itraconazole).
  • Exploration of combination therapy with topical lacquers.

Main Results:

  • Oral terbinafine and itraconazole are effective treatments.
  • Combination therapy may offer additional benefits.
  • Patient expectation management and clear communication of outcomes are vital.

Conclusions:

  • Primary care physicians can effectively manage onychomycosis with available treatments.
  • Realistic goal setting and patient education are key to satisfactory outcomes.
  • Understanding cure and recurrence rates improves patient management.