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dc.creatorVlahovic, Tracey
dc.creatorJoseph, Warren S.
dc.creatorScher, Richard K.
dc.creatorTosti, Antonella
dc.creatorPlasencia, Jesse
dc.creatorPariser, David M.
dc.creatorMarkinson, Bryan C.
dc.date.accessioned2022-01-26T17:35:18Z
dc.date.available2022-01-26T17:35:18Z
dc.date.issued2016-03-01
dc.identifier.citationVlahovic TC, Joseph WS, Scher RK, et al. Diagnosis and Management of Onychomycosis Perspectives from a Joint Podiatric Medicine-Dermatology Roundtable. J Am Podiatr Med Assoc. 2016;106(2):155-62. doi:10.7547/14-170
dc.identifier.issn8750-7315
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/7262
dc.identifier.urihttp://hdl.handle.net/20.500.12613/7283
dc.description.abstractOnychomycosis is a fungal infection, and, as such, one of the goals of treatment should be eradication of the infective agent. Despite this, in contrast to dermatologists, many podiatric physicians do not include antifungals in their onychomycosis treatment plans. Before initiating treatment, confirmation of mycologic status via laboratory testing (eg, microscopy with potassium hydroxide preparation, histopathology with periodic acid–Schiff staining, fungal culture, and polymerase chain reaction) is important; however, more podiatric physicians rely solely on clinical signs than do dermatologists. These dissimilarities may be due, in part, to differences between specialties in training, reimbursement patterns, or practice orientation, and to explore these differences further, a joint podiatric medicine–dermatology roundtable was convened. In addition, treatment options have been limited owing to safety concerns with available oral antifungals and relatively low efficacy with previously available topical treatments. Recently approved topical treatments—efinaconzole and tavaborole—offer additional options for patients with mild-to-moderate disease. Debridement alone has no effect on mycologic status, and it is recommended that it be used in combination with an oral or topical antifungal. There is little to no clinical evidence to support the use of lasers or over-the-counter treatments for onychomycosis. After a patient has achieved cure (absence of clinical signs or absence of fungus with minimal clinical signs), lifestyle and hygiene measures, prophylactic/maintenance treatment, and proactive treatment for tinea pedis, including in family members, may help maintain this status.
dc.format.extent8 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartJournal of the American Podiatric Medical Association, Vol. 106, No. 2
dc.relation.isreferencedbyAmerican Podiatric Medical Association
dc.rightsAll Rights Reserved
dc.titleDiagnosis and Management of Onychomycosis: Perspectives from a Joint Podiatric Medicine–Dermatology Roundtable
dc.typeText
dc.type.genreJournal article
dc.description.departmentPodiatric Medicine
dc.relation.doihttps://doi.org/10.7547/14-170
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeTemple University. School of Podiatric Medicine
dc.creator.orcidVlahovic|0000-0002-5310-4706
dc.temple.creatorVlahovic, Tracey C.
refterms.dateFOA2022-01-26T17:35:18Z


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