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Onychomycosis
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> fungal infection of nails ''Causative organism'' dermatophytes - Trichophyton rubrum (90%) yeasts - Candida non-dermatophyte moulds ''Features'' 'unsightly' nails thickened, rough, opaque ''Investigation'' nail clippings scrapings ''Management'' success rate - 50-80% confirm diagnosis before starting treatment //dermatophyte// - oral terbinafine 1st or oral itraconazole 6-12/52 for finger nails, 3-6/12 for toenails //Candida// - mild - topical antifungals (e.g. Amorolfine), severe - oral itraconazole 12/52
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slimindex, Dermatitis, index