Treatment options – development of consensus guidelines

Abstract

In conclusion, treatment decision-making tools (e.g. an illustrated booklet or CD-ROM presenting each type of onychomycosis and criteria to be considered before selecting treatment regimen) would be valuable supports for the successful treatment of onychomycoses.

Antifungal activity of propolis extract against yeasts isolated from onychomycosis lesions

“…However, if it fails, or if more than 50% of the nail, including the matrix area, is infected, systemic drugs should be prescribed. According Lecha et al (2005), in these cases, oral monotherapy or a combination therapy is indicated.…”

Mycotic Leukonychia in HIV Patients

“…Amorolfine nail lacquer and oral terbinafine are the most effective drugs as monotherapy. However, the best cure rates are obtained with a combination of oral and local therapy (Lecha et al 2005). Clues to consider: 1.…”

Untitled

“…Among the zoophilic species most commonly involved in these infections are Superficial mycosis (e.g. Tinea pedis, T. mannum, T. corporis and T. cruris) usually react to topical antifungals 3,11,23 . Among all the three genera of dermatophytes, Trichophyton is most prevalent strain responsible for dermatophytosis.…”

“…With topical medication, primarily mild skin reactions may occur at the site of application 24 . For patients displaying wide areas of infection or in cases of severe or constant infections, oral therapy should be considered and the same is true for infections caused by T. unguium and T. capitis, where itraconazole, fluconazole, griseofulvin, and ketoconazole are the subjected antifungals to be used 3,23 .…”