Onychomycosis: Old and New

Onychomycosis is a common chronic fungal infection of the nail that causes discoloration and/or thickening of the nail plate. Oral agents are generally preferred, except in the case of mild toenail infection limited to the distal nail plate. Terbinafine and itraconazole are the only approved oral th...

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Main Authors: Narges Maskan Bermudez, Giselle Rodríguez-Tamez, Sofia Perez, Antonella Tosti
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Journal of Fungi
Subjects:
Online Access:https://www.mdpi.com/2309-608X/9/5/559
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author Narges Maskan Bermudez
Giselle Rodríguez-Tamez
Sofia Perez
Antonella Tosti
author_facet Narges Maskan Bermudez
Giselle Rodríguez-Tamez
Sofia Perez
Antonella Tosti
author_sort Narges Maskan Bermudez
collection DOAJ
description Onychomycosis is a common chronic fungal infection of the nail that causes discoloration and/or thickening of the nail plate. Oral agents are generally preferred, except in the case of mild toenail infection limited to the distal nail plate. Terbinafine and itraconazole are the only approved oral therapies, and fluconazole is commonly utilized off-label. Cure rates with these therapies are limited, and resistance to terbinafine is starting to develop worldwide. In this review, we aim to review current oral treatment options for onychomycosis, as well as novel oral drugs that may have promising results in the treatment of onychomycosis.
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spelling doaj.art-acd7d914c3cc4be1ac547cdb1f8bdba82023-11-18T02:02:18ZengMDPI AGJournal of Fungi2309-608X2023-05-019555910.3390/jof9050559Onychomycosis: Old and NewNarges Maskan Bermudez0Giselle Rodríguez-Tamez1Sofia Perez2Antonella Tosti3Dr. Philip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL 33125, USADermatology Department, University Hospital “Dr. José Eleuterio González”, Universidad Autónoma de Nuevo León, Monterrey 64460, MexicoDr. Philip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL 33125, USADr. Philip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL 33125, USAOnychomycosis is a common chronic fungal infection of the nail that causes discoloration and/or thickening of the nail plate. Oral agents are generally preferred, except in the case of mild toenail infection limited to the distal nail plate. Terbinafine and itraconazole are the only approved oral therapies, and fluconazole is commonly utilized off-label. Cure rates with these therapies are limited, and resistance to terbinafine is starting to develop worldwide. In this review, we aim to review current oral treatment options for onychomycosis, as well as novel oral drugs that may have promising results in the treatment of onychomycosis.https://www.mdpi.com/2309-608X/9/5/559onychomycosisdermatophytedermoscopyfungal culturefungal nail infectionnondermatophyte
spellingShingle Narges Maskan Bermudez
Giselle Rodríguez-Tamez
Sofia Perez
Antonella Tosti
Onychomycosis: Old and New
Journal of Fungi
onychomycosis
dermatophyte
dermoscopy
fungal culture
fungal nail infection
nondermatophyte
title Onychomycosis: Old and New
title_full Onychomycosis: Old and New
title_fullStr Onychomycosis: Old and New
title_full_unstemmed Onychomycosis: Old and New
title_short Onychomycosis: Old and New
title_sort onychomycosis old and new
topic onychomycosis
dermatophyte
dermoscopy
fungal culture
fungal nail infection
nondermatophyte
url https://www.mdpi.com/2309-608X/9/5/559
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AT gisellerodrigueztamez onychomycosisoldandnew
AT sofiaperez onychomycosisoldandnew
AT antonellatosti onychomycosisoldandnew