Onychomycosis Flashcards
1
Q
How to diagnose Onychomycosis?
A
- Pt history look for risk factors
- Clinical presentation: crumbling, yellowish colour with hyperkeratotic debris
- KOH preparation of skin/nail clippings
- PAS stain of nail clipping
2
Q
What are the differential diagnosis of onychomycosis?
A
- psoriasis
- Lichen planus
- Nail trauma
- Bacterial infections
- Dermatitis
- onycholysis
- Onychauxis
3
Q
Treatment options for onychomycosis?
A
Orals (12 weeks)
- Terbinafine
- Intraconazole
- Both induce liver toxicity
Topical antifungals (48 weeks)
- Ciclopirox
- Efinaconazole
Address risk factors
