الفهرس | Only 14 pages are availabe for public view |
Abstract Onychomycosis is a common nail infection with several risk factors such as genetic predisposition, ageing, psoriasis, HIV, certain occupations, repeated trauma, continuous immersion in water and contact with detergents. It is most commonly caused by dermatophytes followed by moulds and yeasts. Lately, NDMs and yeasts have been considered to be the principal aetiological agents of onychomycosis in several studies. Onychomycosis classification included DLSO, superficial onychomycosis, PSO, endonyx onychomycosis and TDO, and was extended to include mixed and secondary forms of infection. Onychomycosis should be differentiated from other nail altering diseases as; chronic paronychia, chronic dermatitis, psoriasis, twenty-nail dystrophy, trauma, and tumors. Diagnosis is confirmed using direct microscopy and fungal culture, or newer diagnostic techniques which are not usually available. Treatment includes topical and systemic antifungals, nail avulsion and debridement, laser devices, PDT, iontophoresis, and ultrasound. Patient education is mandatory to reduce recurrence and to seek treatment on recurrence. The study was conducted to evaluate the role of fractional carbon dioxide laser and tioconazole 28% nail solution in the treatment of fingernail onychomycosis as sole treatment modalities and in combination. It included thirty female patients with fingernail onychomycosis randomly divided into three equal groups. |