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Research suggests that fungi are sensitive to heat, typically 40–60 °C (104–140 °F). The basis of laser treatment is to try to heat the nail bed to these temperatures in order to disrupt fungal growth. As of 2013 research into laser treatment seemed promising.
A nail disease or onychosis is a disease or deformity of the nail. Although the nail is a structure produced by the skin and is a skin appendage, nail diseases have a distinct classification as they have their own signs and symptoms which may relate to other medical conditions. Some nail conditions that show signs of infection or inflammation ...
To be effective, treatment includes all infected areas (such as toenails, hands, torso, etc.). Otherwise, the infection may continue to spread, including back to treated areas. For example, leaving fungal infection of the nail untreated may allow it to spread back to the rest of the foot, to become athlete's foot once again.
Distal subungual onychomycosis. Specialty. Infectious diseases. Distal subungual onychomycosis is an infection of the nail plate by fungus, primarily involving the distal nail plate. [1] : 305.
Treatment. Treatment is with long-term systemic antifungals, typically oral terbinafine or itraconazole. Other options include fluconazole and griseofulvin. Prevention is focused on hygiene measures such as keeping feet dry and applying antiseptic powder.
Trichophyton rubrum infections have been found to be susceptible to photodynamic treatment, laser irradiation, and photoactivation of rose bengal dye by green laser light. Tinea unguium presents a much greater therapeutic challenge as topical creams do not penetrate the nail bed.