Onychomysosis - Zehennagelpilz
☆ AI Dermatology — Free Service
An den 2022 Stiftung Warentest Resultater aus Däitschland war d'Zefriddenheet vum Konsument mam ModelDerm nëmme liicht manner wéi mat bezuelte Telemedizin Konsultatiounen.
An den 2022 Stiftung Warentest Resultater aus Däitschland war d'Zefriddenheet vum Konsument mam ModelDerm nëmme liicht manner wéi mat bezuelte Telemedizin Konsultatiounen.
En Zehennag, betraff vum Zehennagelpilz (Onychomysosis).
Eng Persoun mat enger fungal Nagelinfektioun huet zéng Wochen an engem Cours vu Terbinafin, deeglech Medikament. Notéiert d'Entwécklung vum gesonde Nagelwachstum hannert de verbleiwen infizéierte Nägel.
relevance score : -100.0%
ReferencesSystemesch Antimykotika sinn déi effektivst Behandlung. Meta‑Analysen weisen mycotic Kur Tariffer wéi follegt: terbinafine = 76 %, itraconazole with pulse dosing = 63 %, itraconazole with continuous dosing = 59 %, fluconazole = 48 %. Begleedend Nagel‑Debridement erhéicht d'Heilungsraten weider. Topisch Therapie mat ciclopirox ass manner effektiv; et huet e Echec‑Taux iwwer 60 %.
Systemic antifungals are the most effective treatment. Meta-analyses shows mycotic cure rates as follows: terbinafine = 76%, itraconazole with pulse dosing = 63%, itraconazole with continuous dosing = 59%, fluconazole =48%. Concomitant nail debridement further increases cure rates. Topical therapy with ciclopirox is less effective; it has a failure rate exceeding 60%.
Systemic antifungals are the most effective treatment. Meta-analyses shows mycotic cure rates as follows: terbinafine = 76%, itraconazole with pulse dosing = 63%, itraconazole with continuous dosing = 59%, fluconazole =48%. Concomitant nail debridement further increases cure rates. Topical therapy with ciclopirox is less effective; it has a failure rate exceeding 60%.
Onychomykose ass eng Pilzinfektioun, déi d'Nägelen beaflosst. Wann et duerch Dermatophyten verursaacht gëtt, nennt een et Tinea unguium. Onychomykose beinhalt Infektiounen, déi duerch Dermatophyten, Hefen a Schimmel verursaacht ginn. En Nagelproblem, dat net duerch eng Pilzinfektioun verursaacht gëtt, nennt een nail dystrophy. Och wann et souwuel Fanger‑ an Zehenneel beaflosse kann, ass Onychomykose vun den Zehennagelen méi heefeg. Dësen Artikel diskutéiert verschidde Aspekter vun der Zehennagel‑Onychomykose, sou wéi säin Impakt, kleng Aarte, Stadien, Diagnos a Behandlung. Och wann et net liewensgeféierlech ass, kann Onychomykose zu éischte Komplikatiounen féieren, wéi Cellulitis, Sepsis, Knocheninfektioun, Tissueschued an Nagelverloscht.
Onychomycosis is a fungal infection of the nail unit. When dermatophytes cause onychomycosis, this condition is called tinea unguium. The term onychomycosis encompasses the dermatophytes, yeasts, and saprophytic mold infections. An abnormal nail not caused by a fungal infection is a dystrophic nail. Onychomycosis can infect both fingernails and toenails, but onychomycosis of the toenail is much more prevalent. Discussed in detail in this activity are all evolving facets of the topic, including disease burden, clinical types, staging, diagnosis, and management of toenail onychomycosis. While non-life-threatening, onychomycosis can lead to severe complications such as cellulitis, sepsis, osteomyelitis, tissue damage, and nail loss.
Onychomycosis is a fungal infection of the nail unit. When dermatophytes cause onychomycosis, this condition is called tinea unguium. The term onychomycosis encompasses the dermatophytes, yeasts, and saprophytic mold infections. An abnormal nail not caused by a fungal infection is a dystrophic nail. Onychomycosis can infect both fingernails and toenails, but onychomycosis of the toenail is much more prevalent. Discussed in detail in this activity are all evolving facets of the topic, including disease burden, clinical types, staging, diagnosis, and management of toenail onychomycosis. While non-life-threatening, onychomycosis can lead to severe complications such as cellulitis, sepsis, osteomyelitis, tissue damage, and nail loss.
Terbinafine ass e Medikament, dat Pilzinfektiounen bekämpft, andeems et d'Squalenepoxidase blockéiert. Et ass effektiv géint vill Aarte vu Hautpilzen an ass guttgeheescht fir Nagelpilz ze behandelen, wann et mëndlech geholl gëtt. Wärend d'Meescht Nebenwirkungen, wéi Kappwéi an Bauchproblemer, kleng sinn an sech selwer fortgoen, kënnen Ännerungen am Geschmaach (Dysgeusie) vu milde bis schwéier variéieren, heiansdo zu Gewiichtsverloscht féieren. Permanent Goût‑Ännerungen sinn rar, mee si sinn gemellt.
Terbinafine is an antifungal medication that works through the inhibition of squalene epoxidase. It has activity against most dermatophytes, and it has approval for use as an oral therapy for the treatment of onychomycosis. Although most side effects are mild and self-limited, such as headache and gastrointestinal symptoms, taste disturbances (dysgeusia) can range from mild to severe, resulting in weight loss, and have rarely been reported permanent.
Terbinafine is an antifungal medication that works through the inhibition of squalene epoxidase. It has activity against most dermatophytes, and it has approval for use as an oral therapy for the treatment of onychomycosis. Although most side effects are mild and self-limited, such as headache and gastrointestinal symptoms, taste disturbances (dysgeusia) can range from mild to severe, resulting in weight loss, and have rarely been reported permanent.
Onychomykose ass eng Pilzinfektioun, déi d’Nägel beaflosst. Ongeféier 90 % vun Zehennagel‑Infektiounen a 75 % vun Fangerneel‑Infektiounen ginn vu Pilzen verursaacht (Trichophyton mentagrophytes, Trichophyton rubrum). Symptomer enthalen Nagelverfärbung, Verdickung, Trennung vum Nagelbett an Iwwerwuessen. D'Behandlung beinhalt normalerweis medikamentös Medikamenter wéi Terbinafine oder Itraconazole, mat topischen Behandlungen eng Optioun fir mild bis moderéiert Fäll.
Onychomycosis is a fungal infection of the nail unit. Approximately 90% of toenail and 75% of fingernail onychomycosis are caused by dermatophytes, notably Trichophyton mentagrophytes and Trichophyton rubrum. Clinical manifestations include discoloration of the nail, subungual hyperkeratosis, onycholysis, and onychauxis. Currently, oral terbinafine is the treatment of choice, followed by oral itraconazole. In general, topical monotherapy can be considered for mild to moderate onychomycosis.
Onychomycosis is a fungal infection of the nail unit. Approximately 90% of toenail and 75% of fingernail onychomycosis are caused by dermatophytes, notably Trichophyton mentagrophytes and Trichophyton rubrum. Clinical manifestations include discoloration of the nail, subungual hyperkeratosis, onycholysis, and onychauxis. Currently, oral terbinafine is the treatment of choice, followed by oral itraconazole. In general, topical monotherapy can be considered for mild to moderate onychomycosis.
D'Antimykotika Terbinafine, déi oral eweggeholl ginn, schéngen am effektivsten ze sinn, awer Terbinafine ass mat Lebernebenwirkungen assoziéiert.
Zehennagelpilz (onychomysosis) geschitt bei ongeféier 10 % vun der erwuessener Bevëlkerung, mat eeler Leit méi dacks betraff. Männer si méi dacks betraff wéi Fraen. Zehennagelpilz (onychomysosis) stellt ongeféier d'Halschent vun allen Nagelkrankheeten duer. Dëst bedeit, datt d'Deformitéit vun den Zehennägel och aus anere Grënn wéi Onychomykose kënnt.
○ Behandlung ― OTC Drogen
Et ass schwéier, Onychomykose mat topeschen Medikamenter ze behandelen, well et schwéier ass, verdickte Zehennägel duerchzudringen.
#Ketoconazole
#Clotrimazole
#Miconazole
#Terbinafine
#Butenafine [Lotrimin]
#Tolnaftate
○ Behandlung
Laangfristeg Behandlung ass normalerweis erfuerderlech, bis de infizéierte Zehennagel komplett erausgeholl gëtt.
#Terbinafine (oral)
#Itraconazole
#Efinaconazole lacquer [Jublia]
#Ciclopirox lacquer