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New fungal nail infection advice issued

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Experts have released new advice for treating fungal nail infections, which are common in patients aged over 60.
Fungal nail infections can be diagnosed by finding a discolouration or thickening of the edge of the nail and a crumbling, yellow debris around the edge.

The bulletin advise includes: “Keeping nails trimmed short and filed down; wearing well-fitting shoes; and maintaining foot hygiene.”
If necessary, oral terbinafine is advised as the most effective antifungal treatment, with a clinical response in 66% of patients.

Fungal nail infections effect 2-10% of adults and 14-28% of over 60 year olds.

Drugs and Therapeutics Bulletin (2008) 46: 3-8
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