Question

A 60-year-old man with a history of diabetes presents to your office with a complaint of thickened and discolored toenails. He tells you that his toenails have had this appearance for over a year, and now he is experiencing discomfort when wearing tight-fitting shoes. Physical exam reveals hyperkeratosis and onycholysis of bilateral great and second toes. Which of the following is the most appropriate next step in management?a. Begin treatment with oral terbinafineb. Check serum aminotransferasesc. Potassium hydroxide examination of toenail scrapingsd. Watchful waiting

Answer 1

Onychomycosis is a type of fungal infection that frequently results in thick, yellow toenails. This might irritate you or hurt you. Although it happens less frequently, the infection can also affect your fingernails. By taking specific precautions, thick yellow toenails can be avoided.

Toenail thickness is brought on by a number of factors. Onychomycosis, a fungal nail infection brought on by dermatophytes, is the primary culprit. Thick nails can also develop as a result of physical trauma, psoriasis, lichen planus, and diabetes. In the past, oral antifungal medications were recommended.

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