Infectious Diseases Search
Infectious Diseases Infectious Diseases
tinea%20unguium
TINEA UNGUIUM
Onychomycosis is a fungal infection of the nail bed, nail plate or both. It is caused by dermatophytes, non-dermatophyte molds and yeast.
Tinea unguium or dermatophytic onychomycosis is a dermatophyte infection of the nail more commonly affecting the toenails than the fingernails.
It is usually asymptomatic and patients first consult for cosmetic reasons.
It is suspected if there are changes in the 3rd or 5th toenail, involvement of the 1st and 5th toenails on the same foot and unilateral nail changes.

Tinea%20unguium Signs and Symptoms

Definition

  • Specific onychomycosis (fungal infection of the nailbed, nail plate, or both) caused by dermatophytes
  • Also called dermatophytic onychomycosis; more commonly affects the toenails than the fingernails

Signs and Symptoms

  • Usually asymptomatic & patients first consult for cosmetic reasons
    • Onychomycosis is suspected if there are changes in the 3rd or 5th toenail, involvement of the 1st & 5th toenails on the same foot, & unilateral nail changes
  • Patients may complain of numbness, pain, discomfort affecting manual activities & may cause loss of self-esteem & diminished social interaction
  • May manifest as erythematous swelling of the nail fold (paronychia), separation of the nail plate from its bed
  • Onychomycosis is classified based on route of infection & clinical presentation

Risk Factors

  • Aging, male, peripheral vascular diseases, diabetes mellitus (DM), occlusive footwear, human immunodeficiency virus (HIV), presence of Tinea pedis, immunosuppression, atopy, hyperhidrosis, exposure to individuals w/ Tinea pedis or onychomycosis
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS Infectious Diseases - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Product Highlight - ADACEL
2 days ago
Tetanus toxoid 5 Lf, diphtheria toxoid 2 Lf, pertussis toxoid 2.5 mcg, filamentous haemagglutinin 5 mcg, fimbriae types 2 and 3 5 mcg, pertactin 3 mcg
Carfilzomib-based triplet regimen a potential upfront treatment for high-risk MM
Pearl Toh, 22 Oct 2020
The combination therapy comprising carfilzomib, cyclophosphamide and dexamethasone (KCd) is effective, with a tolerable safety profile, in an Asian cohort with high-risk multiple myeloma (MM) — thus providing a more economical alternative as a potential upfront regimen in resource-limited settings, according to leading experts during a myeloma education webinar.
Alzheimer’s disease prevention: Can antidepressants lend a hand?
Jairia Dela Cruz, Yesterday
The selective serotonin reuptake inhibitor escitalopram holds promise in the prevention of Alzheimer’s disease, reducing amyloid-β-42 levels in cerebrospinal fluid and brain tissue in older adults with normal cognitive function, according to recent evidence.
Empagliflozin not just another SGLT2i: Cardio-renal benefits extend to HF with or without diabetes
Roshini Claire Anthony, 13 Nov 2020

Diabetes is a key risk factor for heart failure (HF), which is the leading cause of hospitalization in patients with or without diabetes. SGLT-2* inhibitors (SGLT-2is) have been shown to reduce the risk of hospitalization for HF (HHF) regardless of the presence or absence of diabetes.