الفهرس 
The Nails
Trichophyton GenusOnly 14 pages are availabe for public view
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Abstract
Summary and Concluosion
Onychomycosis is a fungal infection occurring in the nails. Typically,
it manifests as discoloration of the nail, nail plate thickening, subungual
hyperkeratosis and onycholysis. It can affect fingernails or toenails and may
involve various components of the nail.
Onychomycosis is caused by dermatophytes, non-dermatophyte molds
and yeasts. Although dermatophytic pathogens are normally susceptible to
antifungal agents, it is estimated that only 25–50% of patients with
onychomycosis are cured after the standard treatment.
There are four major clinical presentations of onychomycosis, most of
which can be further subdivided. The four major types are: DLSO, PSO,
SWO, and TDO. Distal subungal infections can be further subdivided into
distal lateral subungal onychomycosis and endonyx subungal
onychomycosis.
Onychomycosis can have significant negative effects on patients’
emotional, social, and occupational functioning. Affected patients may
experience embarrassment in social and work situations, where they feel
unclean, unwilling to allow their hands or feet to be seen. Patients may fear
that they will transmit their infection to family members, friends, or
coworkers, fears that can lead to diminished selfesteem and the avoidance of
close relationships and reduced quality of life.
Treatment options include systemic and topical antifungal agents,
palliative care, mechanical or chemical debridement, laser and various
combinations of these modalities