Onychomycosis Tx Monitoring That’s a Notch Above the Rest

March 1, 2009

In a patient receiving antifungal therapy for onychomycosis, it can be difficult to tell how much change has occurred in a treated nail from one visit to the next. To make it easier to monitor treatment progress, I notch the nail at the most proximal point affected by the fungal infection when antifungal therapy is initiated. Keeping track of the notch can help you determine whether the infection is receding.

In a patient receiving antifungal therapy for onychomycosis, it can be difficult to tell how much change has occurred in a treated nail from one visit to the next. To make it easier to monitor treatment progress, I notch the nail at the most proximal point affected by the fungal infection when antifungal therapy is initiated. Keeping track of the notch can help you determine whether the infection is receding.

--Nate Hitzeman, MD
Sacramento, Calif

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