What is the cure for onychomycosis?

Question

Hi doctor,

One of my toenails is brittle and has a light brown spot on it. There is no spot on the skin, as when I cut the nail, it had the spot on itself. I have attached the image. Please help me, as I have learned that it may be melanoma. I also have tinea. Could it be related to that?

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I examined your image (the attachments are removed to protect the patient's identity).

With your descriptions and a given image. It seems you have onychomycosis.

Onychomycosis is a fungal infection of the toenails or fingernails that may involve any component of the nail unit, including the matrix, bed, or plate

Direct microscopy of a 20 % potassium hydroxide (KOH) preparation can screen for fungi.

Medications for onychomycosis can be administered topically or orally.

A combination of topical and systemic treatment increases the cure rate.

I suggest Efinaconazole 10 % topical solution or Amorolfine nail lacquer solution twice a weeks application plus Itraconazole 200 mg twice daily for seven consecutive days in a month for three consecutive months.

I hope you find it helpful.

Kind regards.