Nail ringworm: ask your questions about the treatment
Nail fungus is an uncomfortable and unsightly acne that mainly affects the feet but may also be present on the hands. It is a fungal infection that feeds on keratin, present on the skin and nails. In general, the patient first gets mycosis on the soles of the feet and, after a variable period of time, due to the favorable conditions for the development of these fungi (closed shoes make the environment hot and humid), they also reach the nails.
The problem with this disease is that the treatment is long (average 12 months for feet and 4 months for hands) and the results are slow to be noticed, causing many people to give up treatment. In addition, some patients present conditions that make their treatment difficult, which prolongs this period even more. We developed this post with tips on what to do to avoid reinfection and signs that your nail fungus is a more complicated treatment.
How to recognize the problem?
Nail mycosis usually manifests with white patches on the surface or underneath the nail, thickening of the skin under the nail and of the nail plate in varying degrees. In addition, changes in color may accompany earlier findings, ranging from white to yellowish to brownish to black. Whenever you notice this type of nail change it is advisable to seek the dermatologist to start treatment quickly, since the more advanced disease tends to be more difficult to treat. The best treatment will be indicated by your dermatologist and may consist of oral, local medications or an association of both.
What signs of treatment will take longer?
The most important signs indicating increased difficulty for treating the onychomycosis are: the disease is on the side of the nail and reaches the cuticle region, intense detachment of the nail from the bed and when we have very thickened nails.
In addition, patients with slower nail growth - due to problems such as: hypothyroidism, peripheral vascular disease, diabetes or simply old age - have a greater susceptibility to the onset of infection and, once present, greater difficulty in their treatment.
Male patients, immunosuppressed and with associated diseases that prevent oral treatment, will also have a greater difficulty in treatment. Dermatophyte fungi are more easily eliminated than yeasts and these, in turn, than molds. Therefore, the type of fungus that is involved also helps to estimate the time of treatment and what to expect from it.
What to do to prevent reinfection?
After treatment for ringworm, it is important to take some care: dry your feet well before putting your shoes on, clean them thoroughly and leave them in the sun, use antifungal powders to avoid contamination and watch for any signs of disease return.
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Striae are scars caused by the breakdown of collagen and elastin fibers, which support the skin. "They can arise due to mechanical and hormonal factors, also associated with a genetic propensity, that happen commonly in puberty and gestation, with gain or rapid weight loss, among other reasons," explains the dermatologist Raquel Tancsik Cordeiro.