Volume 17 - Issue -

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Exploring Treatment Approaches To Various Cases

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Dr. Malkin: The first case I will present centers around a 36-year-old female with a non-contributory medical history who presented with a totally dystrophic isolated hallux nail that had 100 percent involvement. I treated this patient with oral medication and at one point, she had approximately 75 percent proximal clearing of the nail.
Then the patient became pregnant and could not use any topicals or orals at all. She came back about 18 months later with 100 percent relapse of her nail. This case illustrates how fast onychomycosis can either recur or relapse.
In this case, I feel



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References

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1. Drake LA, Scher RK, Smith EB, Faich GA, Smith SL, Hong JJ, Stiller MJ. Effect of onychomycosis on quality of life. J Am Acad Dermatol. 1998 May;38(5 Pt 1):702-4.

2. Scott-Levin PDDA. November 2003.

3. Zaias N, Battistini F, Gomez-Urcuyo F, et. al. Cutis 1978;22:197-199.

4. Stedman’s Medical Dictionary, 27th ed. Lippincott, Williams and Wilkins, 2000.

5. Tosti A, Piraccini BM, Stinchi C, Colombo MD, Relapses of onychomycosis after successful treatment with systemic antifungals: a three-year follow-up. Dermatology 1998;162-66.

6. Heikkila H, Stubb S