EFECTIVIDAD DEL TRATAMIENTO ADYUVANTE LÁSER PARA LA ONICOMICOSIS EN PACIENTES QUE ACUDEN A LA CLINCA DERMATOLOGICA OLLAGUE 2018-2019

Abstract

Onychomycosis is a fungal infection of the nail plate, nail bed, or both. About 90% of toenail are caused by dermatophytes, particularly Trichophyton mentagrophytes and Trichophyton Rubrum. Clinical manifestations include nail discoloration, subungual hyperkeratosis. The diagnosis is based on the clinical appearance and mycological examination with potassium hydroxide. Treatment of mycosis of the nail tract remains a challenge today. This is because the infectious focus is retained in the anatomical structure of the nail where a permanent resolution is sometimes not achieved, which means that onychomycosis often becomes a chronic disease that returns to the active state in several years. . Treatment involves the use of oral terbinafine or itraconazole. In general, topical monotherapy can be considered for mild to moderate onychomycosis and is a therapeutic option when oral antifungal agents are contraindicated or cannot be tolerated. In recent years, new techniques have emerged that allow an accurate and sensitive diagnosis of onychomycosis and new treatments for this condition. The purpose of this research paper is to provide readers with an update on current approaches to the treatment of onychomycosis. Because at present a better clinical resolution has been demonstrated with the use of laser therapy.