Onychomycosis: Recommendations for Diagnosis, Assessment of Treatment Efficacy, and Specialist Referral. The CONSONANCE Consensus Project.

Bianca Maria PiracciniMichela StaraceAdam I RubinNilton Gioia Di ChiacchioMatilde IorizzoDimitris Rigopoulosnull null

Published in: Dermatology and therapy (2022)

According to the surveyed nail experts, after evaluating clinical signs and predisposing factors for DLSO, the diagnosis should include subungual hyperkeratosis, nail color (yellow-orange), and onycholysis and thickening. In cases of severe DLSO, when there is treatment failure, concomitant diseases/comorbidities, presence of a dermatophytoma or involvement of the nail matrix, or involvement of several/all nails, referral should be considered.

Keyphrases

primary care
palliative care
clinical practice
early onset
quality improvement
combination therapy