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Quick Medical Diagnosis & Treatment
Onychomycosis (Tinea Unguium)
Sections: Key Features, Essentials of Diagnosis, General Considerations, Clinical Findings, Symptoms and Signs, Differential Diagnosis, Diagnosis, Laboratory Tests, Treatment, Medications, Systemic therapy, Outcome, Follow-Up, Prognosis, When to Refer, References,
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Topics Discussed: onychomycosis.
Excerpt: | |  Is generally required for the treatment of nail onychomycosis; fingernails can virtually always be cleared, whereas toenails can be cured 35–50% of the time and improved in about 75% of cases
Fingernails | | – Ultramicrosize griseofulvin, 250 mg three times daily orally for 6 months, is often effective – Treatment alternatives, in order of preference, are terbinafine, 250 mg once daily orally for 6 weeks, itraconazole, 400 mg/d orally for 7 days each month for 2 months, and itraconazole, 200 mg/d orally for 2 months – Off-label use of fluconazole, 400 mg once weekly for 6 months, can also be effective, but there is limited evidence for this option |
Toenails
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