Dermatology

Nail Fungus (Fingernail and Toenail Onychomycosis)

Understanding fungal nail infections that cause discoloration, thickening, and nail damage.

What is Nail Fungus?

Do your nails look yellow, thick, or brittle? Learn how nail fungus develops and how to effectively treat both fingernail and toenail infections.
Nail fungus, medically known as onychomycosis, is a common infection that affects the nail plate, bed, or both. It occurs when fungi — usually dermatophytes, yeasts, or molds — invade the nail through small cracks or injuries. Without treatment, it can lead to pain, nail deformity, and spread to other nails or skin.

Common Symptoms

  • Yellow, brown, or white discoloration of nails
  • Thickened, brittle, or crumbly texture
  • Nail separating from the nail bed (onycholysis)
  • Foul odor or buildup under the nail
  • Pain or pressure when wearing shoes or using hands

When to see a dermatologist

  • Persistent nail discoloration or thickening
  • Infection spreads to multiple nails
  • Pain, swelling, or pus around the nail
  • You have diabetes or a weakened immune system
  • Over-the-counter treatments are ineffective

Early detection is important for managing the condition and preventing further complications.

Schedule a consultation today.

Causes and Risk Factors

  • Fungal exposure in warm, moist environments
  • Poor nail hygiene or nail trauma
  • Wearing tight or non-breathable footwear
  • Sharing nail tools without proper sterilization
  • Chronic illnesses such as diabetes or circulatory disorders

Diagnosis and Tests

  • Physical examination of the affected nails
  • Nail clipping or debris sampling for fungal culture
  • Microscopic analysis to identify the organism
  • Assessment of underlying health conditions
  • Evaluation of lifestyle and hygiene habits

Treatment Options

  • Topical antifungal lacquers or creams for mild cases
  • Oral antifungal medications for persistent infections
  • Laser therapy to eliminate fungal growth
  • Regular nail trimming and hygiene maintenance
  • Preventive measures such as keeping nails clean and dry

Doral Health & Wellness Skin Health Department

Doral Health & Wellness Dermatology offers comprehensive skin care services for all ages and skin types. Our expert dermatologists provide personalized care for various skin conditions, including acne, eczema, psoriasis, and skin cancer. We offer advanced treatments and cosmetic procedures to help you achieve healthy, radiant skin.

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