No abstract available.
Onychomycosis

Onychomycosis can be diagnosed by mycological examination, but it is not easy to detect its causative organisms because the positive rate of culture is lower and its scores are variable due to the contamination inherently introduced in the current method used in sampling the ovychomycosis organisms. It was suggested that the scores depended upon the handicraft of operates and the gainning method of nail material, so we modeled the watch mending drivers into the punching instruments, and holed deeply & widly through the nail plate, from the surface to the bottom. Afterward, the KOH mount & culture were performed to compare this new punch method used with that of standard scrapping method. Through the KOH examination more numerous hypaes were found in the punch methods sample than the scrapping methods sample. Also, the punch methods positive culture rate was found to be 2. 5 times higher than that of the scrapping methods culture rate, with a 5 to 5. 5 times lower amount of contamination. In conclusion, the punch method was found to be a more precise and effective method of obtaining onychomycosis organisms. Although this method required a slight greater time to perform than the standard scrapping method, I believe it will be a valuable aid in the detection of causative organisms of onychamycosis.
Onychomycosis*

No abstract available.
Candida ; Onychomycosis

No abstract available.
Nails ; Onychomycosis

No abstract available.
Arthrodermataceae* ; Onychomycosis*

No abstract available.
Diagnosis* ; Onychomycosis*

No abstract available.
Onychomycosis* ; Urea*

In order to increase the positive rate of cultre for dermatophyte infections of the nails, the authors devised the new file method. It is to perform the KOH mount arid culture with fine subungual hyperkeratotic debris obtained from the hyponycLium after grinding the nail plate from the surface to the bottom using various files, And we compared the result of this new method with that of conventional scraping and punch methods in 40 toenails and ]1 fingernails. The positive rate of culture for tinea unguium by three different methods was as follows: It was 52.5%(21 cases) through conventional scraping method, 70% (28 cases) through punch method and 80% (32 cases) through file method in the 40 toenai ls. lt was 18.2% (2 cases) through punch method, 27. 3% (3 sases) through scraping method and 54. 6%(6 cases) through file method in the 11'fingernails. In conclusion, the file method was found to be a more effective and successful method to detect the causative organisms of tinea unguium and was also easy to handle.
Arthrodermataceae ; Nails ; Onychomycosis* ; Tinea*

Clinical types of onychorpycosis, consist of distal subungual orychomycosis, white superficial onychomycosis, proximal subongual onychomycosis and candidal onychomycosis. White superficial onychomycosis aippears as white, sharply outlined areas on the surfaces of toenails. The fingernails are not affected. Trichophyton mentogrophytes, rarely Trichophyton rubrm, is the causa ive dermatophytes. The auther reports a case of white superficial onychomycosis of the fingernail caused by T. rubrm.
Arthrodermataceae ; Nails ; Onychomycosis* ; Trichophyton

BACKGROUND: There is a need for additional effective treatments for onychomycosis. Aggressive debridement has been explored as a therapeutic option for onychomycosis, but rigorously designed studies in this area have been limited. OBJECTIVE: We sought to examine the efficacy of the nail grinder and nail lacquer in the treatment of onychomycosis. We planned the study to determine whether adding aggressive nail grinding to nail lacquer for treating toenail onychomycosis improves the efficacy. METHODS: To provide better delivery of drug to bed and nail plate, we trimmed with electric nail grinder (KHP 3000 Frees(R), Germany), and then applied nail lacquer (Amorolfine HCl, Loceryl(R), Galderma korea). Clinical photo was taken for infected area evaluation. The phototrichogram system (Folliscope, LeadM Corporation, Seoul, Korea) was used for the computer-aided evaluation of the nail plate thickness. RESULTS: Aggressive debridement of infected nail with electric nail grinder made an improvement over the duration of the treatment with nail lacquer. CONCLUSION: Aggressive debridement with an electric nail grinder is likely to be more effective than with a nail file. Electric nail grinder could be adopted as the treatment of onychomycosis. The potential for synergism of electric nail grinder with topical antifungal agent is expected.
Debridement ; Lacquer ; Nails ; Onychomycosis