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Review
. 2019 Apr;80(4):835-851.
doi: 10.1016/j.jaad.2018.03.062. Epub 2018 Jun 28.

Onychomycosis: Clinical overview and diagnosis

Affiliations
Review

Onychomycosis: Clinical overview and diagnosis

Shari R Lipner et al. J Am Acad Dermatol. 2019 Apr.

Abstract

Onychomycosis is a fungal nail infection caused by dermatophytes, nondermatophytes, and yeast, and is the most common nail disorder seen in clinical practice. It is an important problem because it may cause local pain, paresthesias, difficulties performing activities of daily life, and impair social interactions. In this continuing medical education series we review the epidemiology, risk factors, and clinical presentation of onychomycosis and demonstrate current and emerging diagnostic strategies.

Keywords: Trichophyton rubrum; biofilm; confocal microscopy; dermatophyte; dermoscopy; direct microscopy; fungal culture; fungal nail infection; histopathology; nondermatophyte; onychomycosis; optical coherence tomography; polymerase chain reaction; tinea pedis; yeast.

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