Author/Editor		Bartenjev, Igor; Rogl-Butina, Mirjam
Title		Onihomikoza - možnosti diagnostike in zdravljenja v ambulanti družinskega zdravnika
Translated title		Onychomycosis - diagnostic and treatment possibilities in the GP office
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 43, št. Suppl 1
Publication year		2004
Volume		str. 53-6
Language		slo
Abstract		Fungal infections of the nail plate are common. Various conditions, such as peripheral neuropathy, peripheral vascular disease, diabetes mellitus, trauma, immunodeficiency as well as hyperhydrosis are often detected in patients with onychomycosis. Treatment is frequently long and cure rates are between 80 and 90%. Mycological cure is not always followed by the clinical restitution of the nail plate. Systemic or combined treatment of onychomycosis is recommended in modern dermatology. Most frequently used systemic agents are terbinafine and itraconazole, rarely fluconazole. The use of griseofulvin and ketoconazole is exceptional. Before systemic treatment, mycological verification of onychomycosis is essential.
Summary		Glivične okužbe nohtov so zelo pogosto bolezensko stanje. Pri razvoju bolezni sodelujejo številni dejavniki: periferne nevropatije, bolezni perifernega obtoka, ortopedske nepravilnosti, sladkorna bolezen, hiperhidroza, imunska oslabelost, ponavljajoče se travme in individualna dovzetnost za okužbo. Zdravljenje je neredko dolgotrajno, ozdravljenje pa lahko pričakujemo v 80-90%. Mikološki ozdravitvi ne sledi vedno tudi klinična obnovitev nohta. Sodobno zdravljenje je ponavadi sistemsko ali kombinirano. Najpogosteje uporabljena sistemska antimikotika sta terbinafin in itrakonazol, redkeje flukonazol in izjemoma griseofulvin in ketokonazol. Pred uvedbo sistemskega antimikotika je potrebna mikološka verifikacija povzročitelja.
Descriptors		FAMILY PRACTICE ONYCHOMYCOSIS