Onychomycosis (tinea unguium)

Question 1

defined as infection of nailplate by fungus rep 30% of diag sup fungal infectuons

Answer 1

Onychomycosis )Tinea unguium

Question 2

Most cases caused by

Answer 2

t rubrum

others:
e floccosu
microsporum
trichophyton fungi.

Question 3

HIV popluation is caused by

Answer 3

T rubrum

Question 4

Etio distal subungal oych

Answer 4

T rubrum

tonsurans

Question 5

White superficial onych

Answer 5

t mentagrophytes, cephalosporium, aspergillus, fusarium oxysporum

White TCAF

Question 6

Proximal subungal oych

Answer 6

T rubrum

trychophyton megninii

Question 7

Candida onyc

Answer 7

C albicans.

Question 8

how to demonstrate fungus

Answer 8

Microscopic exam or culture.

Question 9

tx

Answer 9

not symptomatic/ not seek tx.

topical tx/ ciclopirox, eficonazole, amorolfine naul lacquers.
O - CEA

eficonazole and ciclopirox aee achieved and must be used for 48 weeks.

adults involving fingernails:
terbinafine 250mg/day for 6 weeks. children is 250mg daily for pxs over 40Kg. etc look book.

for toe nails tx is 12 weejs.

Candida onychomysis- systemic itraconazole and fluconazole.
Co-IF.

Question 10

molds are sensitive to

Answer 10

Ozone gas, UV light and visible light.

M-OUV

T rubrum are susceptible to UVc Radiation, PDT( Puva, various forms of laser light.