Fungal Nail Infection (Onychomycosis)
Onychomycosis causes nail thickening, discoloration, and brittleness. It affects roughly 10% of the population and becomes more common with age.
When to Book
Book a visit if a skin concern is new, spreading, painful, not improving with over-the-counter care, or changing in appearance.
Symptoms
Thickened, yellow or brown, brittle nails that may separate from the nail bed. Toenails are affected more often than fingernails.
Causes & Risk Factors
Dermatophyte fungi are the usual cause. Risk factors include aging, diabetes, immunosuppression, athlete's foot, and nail trauma.
How We Evaluate
Nail clipping for PAS staining or KOH confirms fungal elements. We rule out psoriatic nails and traumatic dystrophy.
Treatment Options
Oral terbinafine for 12 weeks is most effective (~70% cure). Topical efinaconazole is an option for mild cases. Our North Miami Beach providers monitor liver function during oral therapy.
When It Is Urgent
Not urgent. Diabetic patients with nail changes should be evaluated promptly to prevent secondary infections.
Frequently Asked Questions
Do I need a referral to see a dermatology provider?
No referral is required at Nomi Beach Health. You can book directly for any skin, hair, or nail concern.
What should I expect at my first dermatology visit?
We perform a focused skin examination, review your history, and discuss a treatment plan the same day. Bring a list of current medications and any photos of how the condition has changed.
How long does it take for skin treatments to work?
Timelines vary. Topical treatments for eczema or acne often improve in two to six weeks. Chronic conditions like psoriasis may need several months of consistent therapy.
Will my skin condition come back after treatment?
Many skin conditions are chronic and managed rather than cured. We create maintenance plans to minimize flare-ups and guide you on when to resume active treatment.
Do you accept insurance for dermatology visits?
Yes. We accept most major insurance plans. Contact our office to confirm your specific plan before scheduling.
Get a Clear Plan for Fungal Nail Infection (Onychomycosis)
Our dermatology team provides accurate diagnosis and effective treatment tailored to your skin.