Onychomycosis: Etiology, diagnosis, and treatment
Background: Onychomycosis, although a common problem in all age groups, is often misdiagnosed and consequently under-treated. There is need for improved awareness and proper laboratory diagnosis to ensure effective therapy.
Objective: To review the etiology, diagnosis, and treatment of onychomycosis.
Design: Data sources from internet searches on AJOL and Pubmed conducted using the keywords “onychomycosis,” fungal nail infections.
Setting: Abia State University Teaching Hospital (ABSUTH), Aba, in South Eastern Nigeria. Subjects: A total of 38 articles and laboratory manuals.
Materials and Methods: A total of 38 articles including laboratory manuals, published between 1974 and 2009, were selected and reviewed. Results: Onychomycosis is gradually increasing in the general population. The etiological agents differ from person to person and from place to place.
Conclusion: There is need for proper laboratory diagnosis prior to institution of therapy. Effective therapy is with the use of systemic drugs with or without topical agents.
Key words: Diagnosis, Etiology, Onychomycosis, Treatment
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Prof. Stephen Onwere
Department of Obstetrics & Gynaecology,
Abia State University Teaching Hospital,