Author Topic: Toenail fungus  (Read 21471 times)

IJL

Re: Toenail fungus
« Reply #100 on: February 11, 2020, 03:31:24 pm »
I did a surgery teaching session a while ago about fungal nail infections
The key point were

50% of the nails that look fungal aren't, so send clipping to the lab
very little evidence to support topical treatments for fungal nails
clinical cure i.e no more fungus doesn't mean that the nail will look any different
3 months of Terbinafine generally does the job but check liver function after 4-6 weeks
Fungal nails look a bit messy but rarely cause any real issues. Risk of meds Vs benefit needs consideration (especially if you have feet like a Hobbit anyway)

nicknack

  • Hornblower
Re: Toenail fungus
« Reply #101 on: February 11, 2020, 03:41:11 pm »
50% of the nails that look fungal aren't, so send clipping to the lab
If they're not fungal, what are they?
There's no vibrations, but wait.

IJL

Re: Toenail fungus
« Reply #102 on: February 11, 2020, 03:57:34 pm »
There's quite a range of causes.
have a look at

https://dermnetnz.org/topics/onycholysis/

The drugs on the table are possible causes rather than treatment.


nicknack

  • Hornblower
Re: Toenail fungus
« Reply #103 on: February 11, 2020, 04:32:42 pm »
Ta.  :thumbsup:
There's no vibrations, but wait.

Re: Toenail fungus
« Reply #104 on: February 14, 2020, 12:19:07 am »
There's quite a range of causes.
have a look at

https://dermnetnz.org/topics/onycholysis/

The drugs on the table are possible causes rather than treatment.

How interesting - repetitive tauma, running then...