Piraccini Bianca Maria, Alessandrini Aurora
Division of Dermatology, Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Via Massarenti 1, 40138 Bologna, Italy.
J Fungi (Basel). 2015 Mar 27;1(1):30-43. doi: 10.3390/jof1010030.
Onychomycosis is the most common nail infective disorder. It is caused mainly by anthropophilic dermatophytes, in particular by and var. . Yeasts, like and , and molds, like spp, represent the second cause of onychomycosis. The clinical suspect of onychomycosis should be confirmed my mycology. Onychoscopy is a new method that can help the physician, as in onychomycosis, it shows a typical fringed proximal margin. Treatment is chosen depending on the modality of nail invasion, fungus species and the number of affected nails. Oral treatments are often limited by drug interactions, while topical antifungal lacquers have less efficacy. A combination of both oral and systemic treatment is often the best choice.
甲癣是最常见的指甲感染性疾病。它主要由亲人性皮肤癣菌引起，特别是由[具体菌种1][具体菌种2]变种引起。酵母菌，如[酵母菌1]和[酵母菌2]，以及霉菌，如[霉菌菌种]，是甲癣的第二大病因。甲癣的临床疑似病例应由真菌学检查确诊。甲下镜检查是一种新方法，可帮助医生诊断，因为在甲癣中，它显示出典型的边缘呈流苏状的近端边缘。治疗方法的选择取决于指甲感染的方式、真菌种类以及受影响指甲的数量。口服治疗常常受到药物相互作用的限制，而外用抗真菌指甲油的疗效较差。口服和外用治疗相结合通常是最佳选择。
