{"id":7625,"date":"2020-04-25T05:53:54","date_gmt":"2020-04-25T08:53:54","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/infecciones-por-hongos-en-las-unas\/"},"modified":"2020-04-27T15:54:16","modified_gmt":"2020-04-27T18:54:16","slug":"fungal-infections-in-the-nails","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/","title":{"rendered":"Nail fungus infections"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/#%C2%BFQue-son-las-infecciones-por-hongos-en-las-unas\" >What are fungal nail infections?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/#Cuales-organismos-causar-onicomicosis\" >Which organisms cause onychomycosis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/#Infecciones-por-hongos-en-las-unas\" >Nail fungus infections<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-onicomicosis\" >What are the clinical features of onychomycosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/#%C2%BFComo-se-confirma-el-diagnostico-de-onicomicosis\" >How is the diagnosis of onychomycosis confirmed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/#%C2%BFCual-es-el-tratamiento-de-la-onicomicosis\" >What is the treatment of onychomycosis?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/infecciones-por-hongos-en-las-unas\/#Dispositivos-utilizados-para-tratar-la-onicomicosis\" >Devices used to treat onychomycosis.<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-son-las-infecciones-por-hongos-en-las-unas\"><\/span>What are fungal nail infections?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mushrooms <span class=\"term\" data-term-id=\"145\">infection<\/span> of the <span class=\"term\" data-term-id=\"193\">nail<\/span> It is also known as onychomycosis. It is increasingly common with increasing age. It rarely affects children.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cuales-organismos-causar-onicomicosis\"><\/span>Which <span class=\"term\" data-term-id=\"883\">organisms<\/span> cause onychomycosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Onychomycosis may be due to:<\/p>\n<ul>\n<li>\n<p>Dermatophytes like <em>Trichophyton rubrum<\/em> (<em>T. rubrum<\/em>), <em>T. interdigitale<\/em> (tinea unguium)<\/li>\n<li>\n<p>Yeast like <em>Candida albicans<\/em> and rarely, Candida species not albicans<\/li>\n<li>\n<p>Molds like <em>Scopulariopsis brevicaulis<\/em> and <em>Fusarium<\/em> species.<\/li>\n<\/ul>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Infecciones-por-hongos-en-las-unas\"><\/span>Nail fungus infections<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='bnail__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3168524-1694968' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/bnail__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3168524.jpg'>\n<\/div>\n<p class=\"p-small\">Onychomycosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='compl__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-7905628-8705689' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/compl__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-7905628.jpg'>\n<\/div>\n<p class=\"p-small\">Onychomycosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='mldon__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildbd-7888319-8226396' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/mldon__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDBd-7888319.jpg'>\n<\/div>\n<p class=\"p-small\">Onychomycosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='mcano__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde0xq-7817416-7259983' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/mcano__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE0XQ-7817416.jpg'>\n<\/div>\n<p class=\"p-small\">Onychomycosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ylw__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildm3xq-1848336-7002142' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ylw__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDM3XQ-1848336.jpg'>\n<\/div>\n<p class=\"p-small\">Onychomycosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='ontin2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildiyxq-4093380-7574066' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/ontin2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDIyXQ-4093380.jpg'>\n<\/div>\n<p class=\"p-small\">Onychomycosis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>See more images of candida nail infection.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-onicomicosis\"><\/span>What are the clinical features of onychomycosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Onychomycosis can affect one or more toenails and toenails and most often involves a large toenail or a small toenail. It can come in one or more different patterns.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"163\">Side<\/span> Onychomycosis: A white or yellow opaque line appears on one side of the nail.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"622\">Subungual<\/span> <span class=\"term\" data-term-id=\"610\">hyperkeratosis<\/span> &#8211; <span class=\"term\" data-term-id=\"384\">climbing<\/span> occurs under the nail.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"68\">Distal<\/span> <span class=\"term\" data-term-id=\"207\">onycholysis<\/span>- The end of nail lifts. The free edge often crumbles.<\/li>\n<li>Superficial white onychomycosis: Scaly white patches and holes appear on top of the nail plate.<\/li>\n<li>\n<span class=\"term\" data-term-id=\"242\">Proximal<\/span> onychomycosis: yellow spots appear on the crescent (<span class=\"term\" data-term-id=\"171\">lunula<\/span>)<\/li>\n<li>Onychoma or dermatophytoma: a thickness <span class=\"term\" data-term-id=\"324\">located<\/span> area of infection on the nail plate.<\/li>\n<li>Destruction of the nail.<\/li>\n<\/ul>\n<p>Tinea unguium often results from untreated tinea pedis (feet) or tinea manuum (hand). It may follow an injury to the nail or <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> nail disease.<\/p>\n<p>Candida infection of the nail plate usually results from <span class=\"term\" data-term-id=\"220\">paronychia<\/span> and it begins near the nail fold (the cuticle). The nail fold is swollen and red, lifted off the nail plate. White, yellow, green, or black marks appear on the nearby nail and spread. The nail can rise from its bed and is sensitive if pressed.<\/p>\n<p>Mold infections are similar in appearance to ringworm.<\/p>\n<p>Onychomycosis must be distinguished from other nail disorders.<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"937\">Bacterial<\/span> infection especially <em>Pseudomonas aeruginosa<\/em>, which turns the nail black or green<\/li>\n<li>Psoriasis<\/li>\n<li>\n<span class=\"term\" data-term-id=\"491\">Eczema<\/span> or <span class=\"term\" data-term-id=\"53\">dermatitis<\/span>\n<\/li>\n<li>Lichen planus<\/li>\n<li>Viral warts\n<\/li>\n<li>Onycholysis<\/li>\n<li>\n<span class=\"term\" data-term-id=\"206\">Onychogryphosis<\/span> (thickening and peeling of the nails under the nail), common in the elderly<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-confirma-el-diagnostico-de-onicomicosis\"><\/span>How is the diagnosis of onychomycosis confirmed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Clippings should be taken from the crumbled tissue at the end of the infected nail. The discolored surface of the nails can be scraped off. The remains can be removed from under the nail. Cuttings and scrapes are sent to a mycology laboratory for <span class=\"term\" data-term-id=\"867\">microscopy<\/span> and <span class=\"term\" data-term-id=\"837\">culture<\/span>.<\/p>\n<p>Pretreatment can reduce the chance of the fungus growing successfully in a crop, so it is best to take the clippings before starting any treatment:<\/p>\n<ul>\n<li>To confirm the diagnosis: antifungal treatment will not be successful if there is another explanation for the nail condition<\/li>\n<li>Identify the person responsible. <span class=\"term\" data-term-id=\"882\">organism<\/span>. Molds and yeasts may require different treatment of dermatophyte fungi<\/li>\n<li>Treatment may be required for a long period and is expensive. The partially treated infection may be impossible to prove for many months, as antifungal medications can be detected even a year later.<\/li>\n<\/ul>\n<p>One one <span class=\"term\" data-term-id=\"24\">biopsy<\/span> can also reveal characteristics <span class=\"term\" data-term-id=\"1419\">histopathological<\/span> characteristics of onychomycosis.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-de-la-onicomicosis\"><\/span>What is the treatment of onychomycosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Nail infections generally heal faster and more effectively than toenail infections.<\/p>\n<p>Mild infections involving less than 50% from one or two nails may respond to <span class=\"term\" data-term-id=\"1330\">current<\/span> antifungal medications, but the cure usually requires an oral antifungal medication for several months.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Dispositivos-utilizados-para-tratar-la-onicomicosis\"><\/span>Devices used to treat onychomycosis.<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Recently, a non-pharmacological treatment has been developed to treat onychomycosis, thus avoiding the side effects and risks of oral antifungal drugs.<\/p>\n<p>Lasers that emit infrared radiation are believed to kill fungi by producing heat within infected tissue. <span class=\"term\" data-term-id=\"1617\">To be<\/span> The treatment is reported to safely eradicate nail fungus with one to three, almost painless, sessions. Various lasers have been approved for this purpose by the FDA and other regulatory authorities. However, high-quality studies of <span class=\"term\" data-term-id=\"914\">effectiveness<\/span> They are lacking, and existing studies indicate that laser treatment is less medically effective than topical or oral antifungal agents.<\/p>\n<ul>\n<li>\n<p>Continuous, long or short pulse lasers Nd: YAG<\/li>\n<li>Ti: modelcked sapphire laser<\/li>\n<li>Laser diode<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"1571\">Photodynamic<\/span> Therapy with the application of 5-aminolevulinic acid or methyl aminolevulinate followed by red light exposure has also been reported to be successful in a small number of patients, whose nails were previously hardened or medically agitated using 40% urea. <span class=\"term\" data-term-id=\"1122\">ointment<\/span> for a week or so.<\/p>\n<p>Iontophoresis and <span class=\"term\" data-term-id=\"1378\">ultrasound<\/span> They are being investigated as devices used to improve the administration of antifungal medications to the nail plate.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 son las infecciones por hongos en las u\u00f1as? Hongos infecci\u00f3n del u\u00f1as Tambi\u00e9n se conoce como onicomicosis. Es cada vez m\u00e1s com\u00fan con el aumento de la edad. Raramente&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7625","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7625"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7625\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7625"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7625"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}