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nail Q

Discussion in 'Podiatry Students' started by jesse14, 02.02.06.

  1. jesse14

    jesse14 Senior Member

    Joined:
    12.29.04
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    Location:
    Toronto
    Status:
    DPT / OTD
    SDN 7+ Year Member

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    Say someone has onychomycosis and they cut their infected nail down to the cuticle and file away all visable nail fungus left under the nail.... how is it that the nail grows back being infected again?
  2. dpmgrad

    dpmgrad Senior Member

    Joined:
    05.17.05
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    745
    Location:
    Philadelphia
    Status:
    Attending Physician
    Podiatrist SDN 7+ Year Member
    The reason why the nail will grow back being infected again is that the nail matrix (which is located behind the cuticle and is where the new nail grows from) has been infected by the fungus. With the nail matrix being infected by the fungus, your best treatment option would be an oral antifungal medication (such as Lamisil, Sporanox, Gris Peg) to attack the fungus at the nail matrix level. Even then, there is no guarantee of getting rid of the fungus since the efficacy rate of the oral antifungal medications is about 70%. In addition, you should be aware of the potential side effects and drug drug interactions.

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