Onychomycosis: A proposed revision of the clinical classification

Roderick Hay, Robert Baran

    Research output: Contribution to journalEditorialpeer-review

    132 Citations (Scopus)

    Abstract

    The classification of onychomycosis, infection of the nail apparatus caused by fungi, has changed over time with the recognition of new pathways of nail infection, new organisms, and new variations in the appearance of diseased infected nail. Taking into account published descriptions of nail morphology in fungal infection, the following forms of onychomycosis are recognized: distal and lateral subungual, superficial, endonyx, proximal subungual, mixed, totally dystrophic, and secondary onychomycosis. These can be subdivided, where appropriate, by color and pattern of nail plate change. The purpose of the revised classification is to provide a framework to assist selection of treatment, estimate prognosis, and evaluate new diagnostic methods.
    Original languageEnglish
    Pages (from-to)1219-1227
    Number of pages9
    JournalJournal of the American Academy of Dermatology
    Volume65
    Issue number6
    DOIs
    Publication statusPublished - Dec 2011

    Keywords

    • classification
    • fungus
    • nail disease
    • onychomycosis
    • prognosis
    • revised
    • SUPERFICIAL WHITE ONYCHOMYCOSIS
    • CHRONIC PARONYCHIA
    • HENDERSONULA-TORULOIDEA
    • CANDIDA ONYCHOMYCOSIS
    • SYSTEMIC ANTIFUNGALS
    • FUNGAL MELANONYCHIA
    • NAIL DISEASE
    • INFECTION
    • DERMATOPHYTES
    • MANIFESTATION

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