Clinical Presentation of Onychomycosis

Clinical presentation for onychomycosis may include onycholysis and subungual hyperkeratosis.
TRANSCRIPT:
SO, WHAT IS THE CLINICAL PRESENTATION OF ONYCHOMYCOSIS? WELL, YOU LOOK FOR ONYCHOLYSIS AND SUBUNGUAL HYPERKERATOSIS, WHICH IS SCALE BENEATH THE NAIL PLATE, AND THERE MAY BE ACCOMPANYING PLANTAR SCALE OR INTERWEB SCALE, AND THAT MAY BE OCCLUDED IN THE DIAGNOSIS.
THESE ARE OTHER PICTURES OF PATIENTS WITH ONYCHOMYCOSIS, YOU COULD SEE HERE HOW THICK THE NAILS CAN GET, THERE MAY BE ACCOMPANYING HEMATOMAS, JUST BECAUSE THE NAILS ARE THICK AND THEY'RE MORE PRONE TO TRAUMA. IT OFTEN INVOLVES ALL THE TOENAILS. HERE'S ANOTHER CASE, NOT AS SEVERE AS THE PREVIOUS ONE, BUT YOU SEE THESE STREAKS, THIS YELLOWING SUBUNGUAL HYPERKERATOSIS.
NOW, THIS IS A FAMILY THAT CAME TO ME, THIS IS THE NAILS OF A FATHER AND THIS IS THE NAILS OF HIS SON, AND IT JUST SHOWS YOU THAT WITH ONYCHOMYCOSIS, IT'S LIKE A SCABIES PHENOMENON, SO ONCE SOMEONE IN THE HOUSEHOLD GETS IT, IT'S VERY LIKELY THAT THE REST OF THE FAMILY WILL ALSO GET IT. SO IT'S IMPORTANT TO TREAT NOT JUST THE PERSON COMING INTO THE OFFICE, BUT TO ASK WHETHER ANYONE ELSE HAS PROBLEMS WITH THEIR NAILS, OR SCALE ON THEIR FEET, AND IT'S IMPORTANT TO TREAT THE WHOLE FAMILY, OR IT JUST KEEPS BOUNCING BACK BETWEEN EVERYONE.