

Fungal nail infection is the invasion of the nail by a fungus. Fungal infection is one of the most common nail disorders in adults. It usually involves the toenails but can also affect the fingernails. Fungal nail infection is also calledย onychomycosis. ๐๐ฒ๐ฆ๐ฉ๐ญ๐จ๐ฆ๐ฌ The symptoms of fungal nail infection include nail thickening, crumbling, and discoloration. Sometimes the skin around the nail appears thickened or scaly. Fungal infection may affect different parts of the nail. Fungal nail infections are sometimes painful, and, with toenail involvement, they can cause difficulty walking. ๐๐๐ฎ๐ฌ๐๐ฌ Fungal nail infections are often associated with fungal infections of the nearby skin. For example, toenail infection is often associated with fungal infection of the skin of the feet (athleteโs foot), and in these cases, the same organism may be responsible for both infections. ๐๐ข๐๐ ๐ง๐จ๐ฌ๐ข๐ฌ Many clinicians suspect a fungal nail infection based on the nail appearance. ๐๐ซ๐๐๐ญ๐ฆ๐๐ง๐ญ Oral medications are often used when several nails are affected. Because some oral medications in rare instances cause liver injury, blood tests may be performed several times during treatment to monitor liver function. Topical treatments are applied directly to the nail surface and are usually recommended when only a few nails are affected. Because fingernails and toenails grow slowly, treatment may be required for several months before improvement is noted. Fungal nail infections can be difficult to treat, and complete clearance of the infection is not always possible. Recurrence of fungal nail infections is also common, and preventive strategies such as keeping the hands and feet clean and dry, avoiding sharing nail clippers or nail files, and using footwear when walking in public areas such as locker rooms or public showers may help reduce the risk of recurrent infections. Source: https://jamanetwork.com.
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