Overview
Onychomycosis is a fungal infection affecting the fingernails and toenails 1. In Europe, dermatophytes are the primary causative agents of tinea unguium 1.Diagnosis
Diagnostic workup includes microscopic examination, culture, and/or molecular testing of nail scrapings 1.Management
For mild or moderate nail infections, topical treatment with antifungal nail polish is recommended 1.
For moderate to severe onychomycosis, oral treatment is recommended in the absence of contraindications 1.
Treatment should incorporate both topical and systemic agents 1.Key Recommendations
For mild or moderate onychomycosis, local treatment with antifungal nail polish is recommended 1. (Evidence: Expert opinion)
In cases of moderate to severe onychomycosis, oral treatment is recommended, provided there are no contraindications 1. (Evidence: Expert opinion)
Treatment regimens should include both topical and systemic antifungal agents 1. (Evidence: Expert opinion)References
1 Nenoff P, Reinel D, Mayser P, Abeck D, Bezold G, Bosshard PP et al.. S1 Guideline onychomycosis. Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG 2023. link