Indian Journal of Dermatology
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Year : 2019  |  Volume : 64  |  Issue : 6  |  Page : 476-481

Onychomycosis unresponsive to antifungals: Etiology and treatment with a new direct technique

1 Department of Dermatology, Ufuk University Faculty of Medicine, Turkey
2 Department of Dermatology, Sırnak State Hospital, Turkey

Correspondence Address:
Fatma Gülru Erdogan
Ufuk University Faculty of Medicine, Department of Dermatology, Sanatkarlar Caddesi No: 5 Angora Evleri Beysukent Ankara
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijd.IJD_453_18

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Aims and Objectives: The aim of this study was to identify the fungal agents causing onychomycosis that were unresponsive to antifungal treatment and to treat these cases by placing under-nail cushions with a mild keratolytic to clear the fungus-invaded tissue. Materials and Methods: Fungal agents were identified by the matrix-assisted laser desorption/ionization time of flight (MALDI-TOF) technique. Results: Nine patients had Aspergillus spp. (7 Aspergillus niger,2 Aspergillus flavus); four had Candida species and one had Trichophyton rubrum. All patients were free of infection at the end of treatment. Conclusion: As per the results, we may state that onychomycosis that is unresponsive to treatment in immunocompetent patients seems to be mostly associated with molds. Direct application of a mild keratolytic to the fungus-invaded part, e.g., the nail plate and/or nail bed and removal of fungal elements may provide a successful treatment outcome.

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