Tinea Unguium

Tinea unguium, commonly known as nail fungus, is a fungal infection that affects the nails. In this comprehensive guide, we will break down the types of tinea unguium, explore its various causes, symptoms, and diagnostic tests, and delve into an array of treatments and drugs available.

Types of Tinea Unguium:

  1. Distal Subungual Onychomycosis (DSO)
  2. White Superficial Onychomycosis (WSO)
  3. Proximal Subungual Onychomycosis (PSO)
  4. Candidal Onychomycosis

Tinea Unguium Causes:

  1. Damp Environments: Fungi thrive in warm, moist conditions, making wet areas like locker rooms and swimming pools breeding grounds.
  2. Compromised Immune System: Weakened immune defenses can increase susceptibility to fungal infections.
  3. Nail Trauma: Injuries to the nail, such as cracks or breaks, create entry points for fungi.
  4. Poor Foot Hygiene: Inadequate cleaning of feet and nails can lead to fungal growth.
  5. Sharing Personal Items: Sharing nail clippers or shoes with an infected person can spread the fungus.
  6. Age: Older individuals are more prone to tinea unguium due to slower nail growth and reduced blood circulation.
  7. Tight Footwear: Shoes that don’t allow proper ventilation can create an environment conducive to fungal growth.
  8. Diabetes: People with diabetes are at a higher risk due to compromised blood circulation.

Tinea Unguium Symptoms:

  1. Yellowing of Nails: Infected nails often turn yellow, a common early sign.
  2. Thickened Nails: Fungal infections can cause nails to become thicker than usual.
  3. Brittle or Crumbly Nails: Infected nails may become brittle, prone to breaking or crumbling.
  4. Distorted Nail Shape: The shape of the nail may change, becoming distorted.
  5. Foul Odor: A persistent unpleasant smell may emanate from the infected nail.
  6. Dark Coloration: Nails might develop dark spots or streaks.
  7. Separation from the Nail Bed: The nail may lift or separate from the nail bed.
  8. Pain and Discomfort: In some cases, tinea unguium can cause pain and discomfort around the affected nail.
  9. Itching and Irritation: Infected nails may be accompanied by itching and irritation.
  10. Spread to Other Nails: If untreated, the infection can spread to adjacent nails.

Diagnostic Tests:

  1. Microscopic Examination: A sample of the affected nail is examined under a microscope to identify fungal elements.
  2. Cultural Examination: Nail samples are cultured to determine the specific type of fungus causing the infection.
  3. PCR (Polymerase Chain Reaction): Molecular techniques help detect fungal DNA for accurate identification.
  4. Wood’s Lamp Examination: This test uses ultraviolet light to highlight fungal infections.
  5. Nail Biopsy: In severe cases, a small piece of the nail is removed and examined under a microscope.
  6. KOH (Potassium Hydroxide) Test: KOH solution is applied to the nail sample, facilitating the visualization of fungal structures.

Treatments:

  1. Topical Antifungal Medications: Creams, ointments, or nail lacquers are applied directly to the infected nail.
  2. Oral Antifungal Medications: Systemic medications prescribed by a healthcare professional to treat severe infections.
  3. Laser Therapy: Targeted laser beams can effectively eliminate the fungus.
  4. Surgical Nail Removal: In extreme cases, removing the infected nail may be necessary.
  5. Photodynamic Therapy: Combining light and photosensitizing drugs to kill fungal cells.
  6. Home Remedies: Soaking the affected nail in vinegar, tea tree oil, or baking soda may help alleviate symptoms.
  7. Proper Foot Hygiene: Regular cleaning and trimming of nails can prevent recurrence.
  8. Wearing Breathable Shoes: Opting for shoes that allow air circulation reduces the risk of infection.
  9. Avoiding Nail Trauma: Taking precautions to prevent injuries to the nails.
  10. Medicated Nail Creams: Prescription creams containing antifungal agents.

Drugs for Tinea Unguium:

  1. Terbinafine (Lamisil): A widely prescribed antifungal medication.
  2. Itraconazole (Sporanox): Available in oral and topical forms.
  3. Fluconazole (Diflucan): Effective against a variety of fungal infections.
  4. Ciclopirox (Penlac): A topical antifungal nail lacquer.
  5. Griseofulvin: An oral antifungal used in some cases.
  6. Amorolfine: Available as a nail lacquer for topical application.
  7. Tolnaftate: Found in various over-the-counter antifungal creams.
  8. Clotrimazole: Available in creams, powders, and sprays.
  9. Econazole: Found in both topical and oral formulations.
  10. Ketoconazole: Available as a cream, shampoo, or oral tablet.

Conclusion:

Tinea unguium is a common fungal infection affecting the nails, with various causes, symptoms, and treatment options. Early detection and appropriate treatment are crucial in managing this condition. Whether opting for topical or oral medications, laser therapy, or home remedies, individuals should consult with healthcare professionals for personalized advice tailored to their specific situation. Additionally, practicing good foot hygiene and taking preventive measures can significantly reduce the risk of tinea unguium. If you suspect a nail infection, seek prompt medical attention to ensure effective and timely treatment.

 

Disclaimer: Each person’s journey is unique, always seek the advice of a medical professional before trying any treatments to ensure to find the best plan for you. This guide is for general information and educational purposes only. If you or someone are suffering from this disease condition bookmark this page or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. Thank you for giving your valuable time to read the article.

  1. https://medlineplus.gov/skinconditions.html
  2. https://www.aad.org/about/burden-of-skin-disease
  3. https://www.usa.gov/federal-agencies/national-institute-of-arthritis-musculoskeletal-and-skin-diseases
  4. https://www.cdc.gov/niosh/topics/skin/default.html
  5. https://www.skincancer.org/
  6. https://illnesshacker.com/
  7. https://endinglines.com/
  8. https://www.jaad.org/
  9. https://www.psoriasis.org/about-psoriasis/
  10. https://books.google.com/books?
  11. https://www.niams.nih.gov/health-topics/skin-diseases
  12. https://cms.centerwatch.com/directories/1067-fda-approved-drugs/topic/292-skin-infections-disorders
  13. https://www.fda.gov/files/drugs/published/Acute-Bacterial-Skin-and-Skin-Structure-Infections—Developing-Drugs-for-Treatment.pdf
  14. https://dermnetnz.org/topics
  15. https://www.aaaai.org/conditions-treatments/allergies/skin-allergy
  16. https://www.sciencedirect.com/topics/medicine-and-dentistry/occupational-skin-disease
  17. https://aafa.org/allergies/allergy-symptoms/skin-allergies/
  18. https://www.nibib.nih.gov/
  19. https://rxharun.com/rxharun/rxharun/article-types/skin-care-beauty/skin-diseases-types-symptoms-treatment/
  20. https://www.nei.nih.gov/
  21. https://en.wikipedia.org/wiki/List_of_skin_conditions
  22. https://en.wikipedia.org/?title=List_of_skin_diseases&redirect=no
  23. https://en.wikipedia.org/wiki/Skin_condition
  24. https://oxfordtreatment.com/
  25. https://www.nidcd.nih.gov/health/
  26. https://consumer.ftc.gov/articles/w
  27. https://www.nccih.nih.gov/health
  28. https://catalog.ninds.nih.gov/
  29. https://www.aarda.org/diseaselist/
  30. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets
  31. https://www.nibib.nih.gov/
  32. https://www.nia.nih.gov/health/topics
  33. https://www.nichd.nih.gov/
  34. https://www.nimh.nih.gov/health/topics
  35. https://www.nichd.nih.gov/
  36. https://www.niehs.nih.gov
  37. https://www.nimhd.nih.gov/
  38. https://www.nhlbi.nih.gov/health-topics
  39. https://obssr.od.nih.gov/
  40. https://www.nichd.nih.gov/health/topics
  41. https://rarediseases.info.nih.gov/diseases
  42. https://beta.rarediseases.info.nih.gov/diseases
  43. https://orwh.od.nih.gov/

References