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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