8 doctors weighed in:

Thickening toe nails?

8 doctors weighed in
Dr. Frank Pinto
Dermatology
3 doctors agree

In brief: Maybe fungus?

When patients (and many non-dermatologist physicians) see this problem they automatically assume it's a fungal infection but this is only true about 50% of the time.
There are several other non-infectious causes of thickened nails including psoriasis, chronic friction/trauma, and hereditary causes. See a dermatologist who may want to take a sample of the nails for a fungal culture and/or biopsy.

In brief: Maybe fungus?

When patients (and many non-dermatologist physicians) see this problem they automatically assume it's a fungal infection but this is only true about 50% of the time.
There are several other non-infectious causes of thickened nails including psoriasis, chronic friction/trauma, and hereditary causes. See a dermatologist who may want to take a sample of the nails for a fungal culture and/or biopsy.
Dr. Frank Pinto
Dr. Frank Pinto
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Dr. Jeffrey Kass
Podiatry
2 doctors agree

In brief: See podiatrist

Could be fungus, dystrophy which is thickness without fungus - a scrapping of the toenail can be sent to a pathology lab to find out if there is fungus present.

In brief: See podiatrist

Could be fungus, dystrophy which is thickness without fungus - a scrapping of the toenail can be sent to a pathology lab to find out if there is fungus present.
Dr. Jeffrey Kass
Dr. Jeffrey Kass
Thank
1 doctor agrees

In brief: Nail biopsy first

When patient have thick dystrophy nails they should get a nail biopsy before any treatment.
As we wait for the biopsy the patient should begin a topical treatment of urea to soften the nail and an antifungal that cover yeast and dermatophytes. When the biopsy result arrive the nail should be treated as properly. Oral treatment for nail fungal should be add if the nail biopsy comes by positive.

In brief: Nail biopsy first

When patient have thick dystrophy nails they should get a nail biopsy before any treatment.
As we wait for the biopsy the patient should begin a topical treatment of urea to soften the nail and an antifungal that cover yeast and dermatophytes. When the biopsy result arrive the nail should be treated as properly. Oral treatment for nail fungal should be add if the nail biopsy comes by positive.
Dr. Rolando Melendez
Dr. Rolando Melendez
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Dr. Vasu Brown
Wound care

In brief: Epsom salt soak

Epsom salt use this to soak feet daily and apply antifungal cream twice daily for 6 weeks - medical model oral antifungal is not good for liver and does not work still.

In brief: Epsom salt soak

Epsom salt use this to soak feet daily and apply antifungal cream twice daily for 6 weeks - medical model oral antifungal is not good for liver and does not work still.
Dr. Vasu Brown
Dr. Vasu Brown
Thank
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