Dermatology

Onychomycosis (Fingernail and Toenail Fungal Infection)

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

What is Onychomycosis?

Do your nails appear yellow, thick, or brittle? Learn how fungal infections develop and the best ways to treat and prevent them.
Onychomycosis is a fungal infection that affects the fingernails or toenails, often causing discoloration, thickening, and nail deformation. The infection occurs when fungi penetrate the nail bed through cracks or cuts. Without treatment, it can spread to other nails or skin and lead to pain or difficulty using hands or feet.

Common Symptoms

  • Yellow, brown, or white nail discoloration
  • Thickened or brittle nails
  • Nails separating from the nail bed (onycholysis)
  • Crumbly or distorted nail edges
  • Mild odor or buildup under the nail

When to see a dermatologist

  • Infection affects several nails or keeps recurring
  • Pain, swelling, or bleeding develops around the nail
  • You have diabetes or circulatory problems
  • Over-the-counter treatments fail to improve symptoms
  • Nail deformity or discomfort interferes with daily life

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

Schedule a consultation today.

Causes and Risk Factors

  • Fungal exposure in warm, humid environments
  • Poor nail hygiene or prolonged moisture
  • Wearing tight, non-breathable shoes
  • Nail trauma or sharing contaminated tools
  • Medical conditions such as diabetes or immune suppression

Diagnosis and Tests

  • Visual and physical examination of nails
  • Nail clipping or scraping for fungal culture
  • Microscopic evaluation to confirm infection type
  • Review of medical history and health conditions
  • Assessment for coexisting nail diseases (e.g., psoriasis)

Treatment Options

  • Topical antifungal lacquers or solutions for mild infections
  • Oral antifungal medications (e.g., terbinafine, itraconazole) for moderate to severe cases
  • Laser therapy to destroy fungal cells under the nail
  • Nail trimming and debridement to reduce fungal buildup
  • Preventive care such as keeping nails clean, dry, and properly trimmed

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.

Dermatology

Explore Related Conditions

Health Corner

Recent Articles

Perform Your Search Within the Site

Just write what you want and you will find it.

Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors