Nail sampling technique and its interpretation

  • Leelavathi M
  • Tzar MN

Abstract

The clinical suspicion of onychomyosis based on appearance of the nails, requires culture for confirmation. This is because treatment requires prolonged use of systemic agents which may cause side effects. One of the common problems encountered is improper nail sampling technique which results in loss of essential information. The unfamiliar terminologies used in reporting culture results may intimidate physicians resulting in misinterpretation and hamper treatment decision. This article provides a simple guide on nail sampling technique and the interpretation of culture results.

References

Mügge C, Haustein UF, Nenoff P. Causative agents of onychomycosis - a retrospective study. J Dtsch Dermatol Ges. 2006;4(3):218-28.

Roberts DT, Taylor WD, Boyle J. Guidelines for treatment of onychomycosis. Br J Dermatol. 2003;148(3):402-10.

Chaya AK, Pande S. Methods of specimen collection for diagnosis of superficial and subcutaneous fungal infections. Indian J Dermatol Venereol Leprol. 2007;73(3):202-5.

de Berker D. Clinical practice. Fungal nail disease. N Engl J Med. 2009;360(20):2108-16.

Shemer A, Trau H, Davidovici B, et al. Collection of fungi samples from nails: comparative study of curettage and drilling techniques. J Eur Acad Dermatol Venereol. 2008;22(2):182-5.

Mochizuki T, Kawasaki M, Tanabe H, et al. A nail drilling method suitable for the diagnosis of onychomycosis. J Dermatol. 2005;32(2):108-13.

Ellis DH. Diagnosis of onychomycosis made simple. J Am Acad Dermatol. 1999;40(6 Pt 2):S3-8.

Moreno G, Arenas R. Other fungi causing onychomycosis. Clin Dermatol. 2010;28(2):160-3.

Mandell GL, Bennett JE, Dolin R. Principles and practice of infectious diseases. 7th ed. vol 2 chap 267. Philadelphia: Churchill Livingstone Elselvier; 2010. p. 3353.

Published
2011-12-01
How to Cite
ML., & MNT. (2011). Nail sampling technique and its interpretation. Malaysian Family Physician, 6(2 & 3), 2. Retrieved from https://www.e-mfp.org/ojs3/index.php/MFP/article/view/28
Section
Original Articles