Office Practice–Based Confirmation of Onychomycosis

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Abstract
ONYCHOMYCOSIS, fungal infection of the nail bed, is a common condition seen by primary care physicians. Estimates of its prevalence in adults range from 2% to 8% in temperate developed countries1 to as high as 14% in US patients identified in the primary medical care setting with other complaints.2 Dermatophytic molds are the predominant pathogens in onychomycosis, responsible for more than 90% of the infections.3-7Candida species and nondermatophyte molds account for the remaining proportion of isolates in epidemiological studies, though the role of nondermatophyte organisms as sole pathogens in toenail onychomycosis has not been fully established.8

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