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Candidal Onychomycosis

Candidal Onychomycosis. Approximately 5% of onychomycosis Sign of immunosuppression Associated with chronic mucocutaneous candidiasis Common in laundry women and canners. Candidal Onychomycosis. Invade via the hyponychium Destruction of nail with massive nailbed hyperkeratosis

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Candidal Onychomycosis

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  1. CandidalOnychomycosis Approximately 5% of onychomycosis Sign of immunosuppression Associated with chronic mucocutaneouscandidiasis Common in laundry women and canners

  2. CandidalOnychomycosis Invade via the hyponychium Destruction of nail with massive nailbed hyperkeratosis • “pseudoclubbing” Paronychiawith expression of small amount of pus Thickened, rough, opaque, or darkened nail that separates from bed No accumulation of subungual debris

  3. CandidalOnychomycosis Treatment • Systemic treatment with itraconazole or fluconazole • Relapses • Combination amorolfine (topical) & itraconazole (systemic) • Children: terbinafine, itraconazole, fluconazole

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