Onicomicosi: Cos’è e come trattarla

Onychomycosis: What it is and how to treat it

Fingernails are not only an aesthetic component, but also an indicator of overall health. When nails are affected by onychomycosis, it can become an annoying and sometimes painful problem. In this article, we will explore the causes, symptoms, and treatments for fingernail onychomycosis, offering helpful tips on how to prevent and treat it.

What is Onychomycosis?

Onychomycosis is a fungal infection that can affect both fingernails and toenails. It is caused by several types of fungi, including dermatophytes, yeasts, and non-dermatophyte molds. The infection may begin as a small white or yellow spot under the tip of the nail and, if left untreated, can spread, causing thickening, discoloration, and brittleness of the nail.

Causes and Risk Factors

These fungi thrive in warm, moist environments and can enter the nail through small cracks or trauma. Some of the main risk factors include:

  • Contact with water : Frequent exposure to water can weaken nails and encourage the growth of fungi.
  • Nail Trauma : Even small traumas or injuries can allow fungi to penetrate.
  • Inadequate hygiene : Failure to wash and dry hands properly.
  • Use of chemicals : Frequent use of harsh nail polishes and solvents can damage the nail and increase the risk of infection.
  • Weakened immune system : Conditions such as diabetes or a compromised immune system increase the risk of fungal infections.

Symptoms of Onychomycosis

Symptoms of onychomycosis can vary depending on the severity of the infection. Common signs include:

  • Thickening : Nails may become visibly thicker.
  • Discoloration : Nails may appear white, yellow, brown, or black.
  • Fragility : Nails can become brittle and break easily.
  • Altered shape : Nails may become deformed and lose their natural shape.
  • Tenderness or pain : In some cases, there may be pain or tenderness around the infected nail.
  • Odor : In severe cases, it may give off a bad odor.

Available Treatments

Treating onychomycosis can be a lengthy process, but there are several treatment options:

  • Topical Treatments : Antifungal creams, lotions, or polishes may be effective for mild to moderate infections.
  • Oral Medications : Oral antifungals are often prescribed for more serious infections, but require medical monitoring due to potential side effects.
  • Nail Removal : In extreme cases, removal of the infected nail may be necessary to allow healthy growth of the new nail.
  • Laser : Laser therapy is a relatively new technique that uses light to destroy fungi.

Prevention

Preventing onychomycosis requires some simple but effective hygiene practices:

  • Keep your hands clean and dry : Wash your hands regularly and dry them well, especially after exposure to water.
  • Avoid excessive use of chemicals : Limit the use of aggressive enamels and solvents.
  • Do not share nail care tools : Use only personal, sterilized tools.
  • Cut nails correctly : Cut nails straight across and not too short to avoid trauma.
  • Wear gloves : Use gloves when doing housework or when dealing with chemicals.

Onychomycosis is a common but treatable condition. Recognizing the symptoms and acting promptly with appropriate treatments is essential to avoid complications. Adopting good hygiene practices can also significantly reduce the risk of infection. If you suspect you have onychomycosis, consult a dermatologist for a proper diagnosis and treatment plan.

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