Onychomycosis: A proposed revision of the clinical classification

Roderick Hay; Robert Baran

doi:10.1016/j.jaad.2010.09.730

Onychomycosis: A proposed revision of the clinical classification

Roderick Hay, Robert Baran

Gustave Roussy Institute

Research output: Contribution to journal › Editorial › peer-review

156 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 language	English
Pages (from-to)	1219-1227
Number of pages	9
Journal	Journal of the American Academy of Dermatology
Volume	65
Issue number	6
DOIs	https://doi.org/10.1016/j.jaad.2010.09.730
Publication status	Published - 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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10.1016/j.jaad.2010.09.730

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title = "Onychomycosis: A proposed revision of the clinical classification",

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.",

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",

author = "Roderick Hay and Robert Baran",

year = "2011",

month = dec,

doi = "10.1016/j.jaad.2010.09.730",

language = "English",

volume = "65",

pages = "1219--1227",

journal = "Journal of the American Academy of Dermatology",

issn = "0190-9622",

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number = "6",

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T1 - Onychomycosis

T2 - A proposed revision of the clinical classification

AU - Hay, Roderick

AU - Baran, Robert

PY - 2011/12

Y1 - 2011/12

N2 - 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.

AB - 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.

KW - classification

KW - fungus

KW - nail disease

KW - onychomycosis

KW - prognosis

KW - revised

KW - SUPERFICIAL WHITE ONYCHOMYCOSIS

KW - CHRONIC PARONYCHIA

KW - HENDERSONULA-TORULOIDEA

KW - CANDIDA ONYCHOMYCOSIS

KW - SYSTEMIC ANTIFUNGALS

KW - FUNGAL MELANONYCHIA

KW - NAIL DISEASE

KW - INFECTION

KW - DERMATOPHYTES

KW - MANIFESTATION

U2 - 10.1016/j.jaad.2010.09.730

DO - 10.1016/j.jaad.2010.09.730

M3 - Editorial

SN - 0190-9622

VL - 65

SP - 1219

EP - 1227

JO - Journal of the American Academy of Dermatology

JF - Journal of the American Academy of Dermatology

IS - 6

ER -

Onychomycosis: A proposed revision of the clinical classification

Abstract

Keywords

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