An elegant aunt came to our dermatology consulting room, slowly sat down after the aunt very embarrassed to say "Can you please take a look at my feet?" . After receiving the aunt's "help" signal, we immediately "scanned" the aunt's foot skin, and saw that the aunt's big toe nail turned yellow and green, and the texture of the nail became unusually rough. At this time, the aunt regretted and said, "Ah, at first I thought it was a small problem, I didn't pay much attention, and then I pedicure my feet and soak my feet, and I didn't get better, which really upset me." After completing a fungal examination of my aunt's toenails, we made the diagnosis of "tinea toenails".

So, what is ";onychia"?

Onychomycosis caused by dermatophyton is often called tinea onychomycosis, which is what we often say ";gray nails"!

What kind of people are prone to "gray nails"?

Studies have found that the incidence is higher in the elderly and higher in men than in women. In addition, some people with diabetes, obesity, wet and sweaty feet have a higher incidence.

How do you know if you have onychomycosis?

First of all, we can make a preliminary judgment: Is there discoloration and deformation of our toenails? Has the deck thickened and the texture changed? Is there any damage to A? Secondly, if the above manifestations can not be arbitrarily diagnosed, it is necessary to combine the mycological examination of the diseased fingernail; In some cases, it is also necessary to identify nail changes caused by diseases such as lichen planus and eczema. Diagnosis can be made on the basis of comprehensive clinical manifestations and examinations.

But my diseased finger (toe) nail does not hurt, does it still need treatment?

Of course we do! "Got gray nails, an infection of two", of course, refers to (toe) nail fungal infection is also infectious, may endanger the health of the family; In addition, their own serious illness will also affect the wearing of shoes and walking, causing paronychia and other more difficult problems. Therefore, for people and themselves, timely treatment of tinea is crucial! The elegant aunties who are reading, think about how beautiful it would be to wear nice sandals in the hot summer and reveal our nice toenails.

That got onychia, how to treat it?

Oral drugs such as itraconazole, terbinafine and so on are now used in clinical treatment, topical drugs such as amerolophen, other auxiliary treatment including surgical nail extraction, laser and so on. However, during oral drug therapy, liver function needs to be monitored regularly. For our elderly group, it is usually combined with other systemic diseases, and the clinical medication is complex, so it is recommended that elderly patients in the treatment process, strictly follow up in the dermatology, do not believe the outside "fast package treatment of gray nails" flag oh!

Let's continue to create a happy life with our own hands with healthy nails!

Written by Dr. Du Xueshan, the Second Affiliated Hospital of Xi 'an Jiaotong University

Reviewer: Geng Songmei, Chief physician of the Second Affiliated Hospital of Xi 'an Jiaotong University

(The opinions expressed are solely those of the author. Some pictures in this article are from the Internet, if there is infringement, please contact to delete)