Fungal nail infections Flashcards
1
Q
What is onychomycosis?
A
Fungal infection of nails
2
Q
What causes it?
A
Dermatophytes - mainly trichophyton rubrum (90% cases)
Yeasts - candida
Non dermatophyte moulds
3
Q
What risk factors are there?
A
DM
Increasing age
4
Q
What features are there?
A
Thickened
Rough
Opaque
5
Q
What investigations should be done?
A
Nail clippings
Scrapings of the affected nail
6
Q
If a dermatophyte infection, how should it be managed?
A
Oral terbinafine first line 3-6 months
Oral itraconazole as alternative
