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Nail clipping in onychomycosis.
Laura Bertanha1, Nilton Di Chiacchio1
1Hospital do Servidor Público Municipal de São Paulo (HSPM-SP) - São Paulo (SP), Brazil.
Accurate early diagnosis of onychomycosis is crucial. Nail clipping histopathology offers a sensitive, painless, and cost-effective method for diagnosing fungal nail infections, complementing traditional methods.
Area of Science:
- Dermatology
- Mycology
- Pathology
Background:
- Onychomycosis is the most common nail disease.
- Accurate diagnosis is essential for effective treatment.
- Current gold standard diagnostic methods (direct microscopy and culture) have variable sensitivity.
Purpose of the Study:
- To evaluate the utility of nail clipping histopathology as an adjunctive diagnostic tool for onychomycosis.
- To assess the sensitivity, ease of performance, cost-effectiveness, and patient experience associated with this method.
Main Methods:
- Histopathological examination of distal nail plate clippings.
- Comparison with direct mycological tests and culture.
Main Results:
- Nail clipping histopathology demonstrated high sensitivity for diagnosing onychomycosis.
- The procedure is easy to perform, inexpensive, and rapid.
- It is minimally dependent on examiner skill and is painless for patients.
Conclusions:
- Nail clipping histopathology is a valuable and effective adjuvant diagnostic method for onychomycosis.
- It offers a practical, sensitive, and patient-friendly alternative/complement to existing diagnostic techniques.
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