Here is a photo of an actual patient who was battling toenail fungus, also known as onychomycosis, for years. I started him on a topical antifungal medication called Jublia, and look at his transformation! This is my actual patient, and photos are posted with permission. Images are copyrighted by Dr. Cindy Berthelot, MD.
Onychomycosis may affect one or more toenails and/or fingernails, and most often involves the great toenail or the little toenail. It can present in one or several different patterns:
--Lateral onychomycosis. A white or yellow opaque streak appears at one side of the nail.
--Subungual hyperkeratosis. Scaling occurs under the nail.
--Distal onycholysis. The end of the nail lifts up. The free edge often crumbles.
--Superficial white onychomycosis. Flaky white patches and pits appear on the top of the nail plate.
--Proximal onychomycosis. Yellow spots appear in the half-moon (lunula).
--Onychoma or dermatophytoma. This is a thick localised area of infection in the nail plate.
--Complete destruction of the nail.
Fingernail infections are usually cured more quickly and effectively than toenail infections. Mild infections affecting less than 50% of one or two nails may respond to topical antifungal medications but cure usually requires an oral antifungal medication for several months. Combined topical and oral treatment is probably the most effective regime. Recently, non-drug treatment has been developed to treat onychomycosis thus avoiding the side effects and risks of oral antifungal drugs. Lasers, such as Nd:YAG, are thought to kill fungi by the production of heat within the infected tissue. Laser treatment is reported to safely eradicate nail fungi with one to three, almost painless, sessions.
Dr. Cindy N. Berthelot, M.D. is a board certified dermatologist treating patients in the greater Houston community, including Clear Lake, League City, Friendswood, Pasadena, Deer Park, Dickinson, Pearland, Alvin, Seabrook, Kemah, Webster, Galveston, Texas City, La Marque, and Santa Fe, Texas. To make an appointment with Dr. Berthelot, please contact us at 281.480.7272.