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S1 Guideline onychomycosis.

Pietro Nenoff1, Dieter Reinel2, Peter Mayser3

  • 1Labopart - Medizinische Laboratorien, Labor Leipzig-Mölbis [Labopart - Medical Laboratories, Laboratory Leipzig-Mölbis], Rötha OT Mölbis, Germany.

Journal Der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
|May 22, 2023
PubMed
Summary
This summary is machine-generated.

Onychomycosis, a common fungal nail infection, requires accurate diagnosis via microscopy, culture, or molecular testing. Treatment guidelines simplify selection of topical or oral antifungal agents for mild to severe cases, ensuring effective management.

Keywords:
Onychomycosisfungal nail infectionnail fungus

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Area of Science:

  • Dermatology and Mycology
  • Evidence-Based Medicine

Background:

  • Onychomycosis (fungal nail infection) and tinea unguium are prevalent in Europe, primarily caused by dermatophytes.
  • Current diagnostic methods include microscopy, culture, and molecular testing of nail scrapings.

Approach:

  • This update simplifies the German S1 guideline for diagnosing and treating onychomycosis.
  • It incorporates current international guidelines and a literature review by a multidisciplinary expert committee.

Key Points:

  • Mild to moderate infections are treated with topical antifungal nail polish.
  • Moderate to severe cases necessitate oral antifungal agents, alongside topical treatments, barring contraindications.
  • The guideline aims to streamline the selection and implementation of diagnostics and treatments.

Conclusions:

  • The updated guideline provides a simplified, evidence-based approach to onychomycosis management.
  • It emphasizes a combination of topical and systemic therapies for effective treatment outcomes.