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Tinea Unguium: Comprehending the Fungal Infection of the Nails

December 1, 2024

Tinea Unguium


Tinea Unguium, also known as Onychomycosis, is a fungal infection of the fingernails or toenails. It is a common condition that affects approximately 10% of the population.

Causes and Risk Factors

  1. Fungal infection: Tinea Unguium is caused by a fungal infection, typically by dermatophytes such as Trichophyton, Microsporum, or Epidermophyton.
  2. Moisture: Excessive moisture can contribute to the development of Tinea Unguium.
  3. Poor hygiene: Poor nail hygiene and sharing personal care items can increase the risk of infection.
  4. Age: Tinea Unguium is more common in older adults.
  5. Weakened immune system: People with weakened immune systems, such as those with diabetes or HIV/AIDS, are more susceptible to Tinea Unguium.

Symptoms

  1. Thickening of the nail: The infected nail becomes thicker and more brittle.
  2. Discoloration: The nail may turn yellow, green, or black due to the fungal infection.
  3. Distortion of the nail: The nail may become distorted, curved, or separated from the nail bed.
  4. Pain: The infected nail may be painful, especially when pressure is applied.
  5. Foul odor: The infected nail may emit a foul odor.

Diagnosis

  1. Physical examination: A healthcare professional will examine the nail and surrounding skin.
  2. Nail scraping or biopsy: A sample of the nail or surrounding skin may be taken for laboratory analysis.
  3. Fungal culture: A fungal culture may be performed to confirm the presence of a fungal infection.

Treatment

  1. Topical treatments: Topical creams, ointments, or lacquers containing antifungal medications such as clotrimazole, miconazole, or ciclopirox.
  2. Oral antifungal medications: Oral medications such as terbinafine, itraconazole, or fluconazole may be prescribed for more severe cases.
  3. Laser treatment: Laser therapy may be used to target the fungal infection and promote nail growth.
  4. Surgery: In severe cases, surgical removal of the infected nail may be necessary.

Prevention

  1. Practice good hygiene: Keep the nails and surrounding skin clean and dry.
  2. Avoid sharing personal care items: Avoid sharing nail clippers, files, or other personal care items.
  3. Wear protective gloves: Wear gloves when washing dishes, gardening, or engaging in other activities that expose the hands to moisture.
  4. Trim nails properly: Trim the nails straight across and avoid sharing nail clippers.