Dermatology · UKMLA & AKT

Tinea unguium (onychomycosis)

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise tinea unguium (onychomycosis) — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Most common fungal nail infection; affects ~2-8% of population, rising to 15-20% over age 60
  • Toenails >> fingernails; hallux most commonly affected; slightly more common in men
  • Causative organisms: Trichophyton rubrum (70-80%), T. interdigitale (second most common); non-dermatophyte moulds and Candida less common

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