
Mycotic nails, also known as onychomycosis, are a fungal infection that affects your nails. The word 'mycotic' means an infection with a fungus or a disease caused by a fungus. This infection causes your nail colour to change and your nails to become thick and fragile. It can affect anyone, but you're more likely to get it if you have diabetes, psoriasis or athlete's foot.
| Characteristics | Values |
|---|---|
| Definition | An infection caused by a fungus that affects your nails |
| Other names | Onychomycosis, Paronychia |
| Symptoms | Nails become thick, fragile, and separate from the nail bed; nail colour changes; unpleasant smell; pus formation |
| Causes | Walking barefoot on a wet floor; not cleaning and trimming nails; sharing tools, socks, and shoes; wearing shoes without ventilation; genetic predisposition; diabetes; psoriasis; athlete's foot; age |
| Prevalence | Affects 10% of the general population; more common in older adults (20% of people over 60 and 50% of people over 70) |
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What You'll Learn

Symptoms of mycotic nails
Mycotic nails are a fungal infection that affects the nails. It is also known as onychomycosis, which means 'fungal nail infection'. It is characterised by a change in nail colour and appearance, an unpleasant smell, and sometimes pus formation. The nail becomes thick and fragile, and separates from the nail bed. It may also turn brownish, whitish or blackish.
Mycotic nails are caused by different species of fungi, which thrive in unhygienic conditions such as walking barefoot on wet floors, not cleaning or trimming nails, or sharing tools, socks and shoes. Anyone can get a mycotic nail, but certain factors increase the risk. These include having diabetes, psoriasis or athlete's foot, being over the age of 70, and having a family history of mycotic nails.
The symptoms of mycotic nails can be unsightly and uncomfortable. The nail may become thick and distorted, making it difficult to cut and causing pain when wearing shoes. The nail may also become brittle and break easily, leading to further discomfort and potential injury. In some cases, the nail may separate completely from the nail bed, causing pain and increasing the risk of infection.
Mycotic nails can be difficult to treat, and the infection may recur even with treatment. However, there have been significant advances in the management of fungal nail infections in recent years, with a growing range of specific antifungal medications available. Treatment options may include topical or oral antifungal medications, nail debridement (removal of the infected nail), or laser therapy.
It is important to seek medical advice if you suspect you have a mycotic nail, as early treatment can improve outcomes and prevent the infection from spreading. Your healthcare provider will be able to diagnose a mycotic nail by examining the affected nail and may recommend a course of treatment based on the severity of the infection and your individual circumstances.
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Causes of mycotic nails
Mycotic nails are caused by a fungal infection. The word 'mycotic' means an infection with a fungus or a disease caused by a fungus. The condition is also known as onychomycosis, which comes from the Greek onycho, meaning nail, and mycosis, meaning fungal-based infection.
Mycotic nails can be caused by a number of factors. Firstly, certain conditions can make you more likely to get them, including diabetes, psoriasis and athlete's foot. You are also more likely to get mycotic nails if you are older, with around 50% of people over the age of 70 developing the condition at some point. It is also possible to be genetically predisposed to mycotic nails, so you are more likely to get them if other people in your family have them.
Mycotic nails can also be caused by certain behaviours. For example, wearing shoes that don't have ventilation can increase your risk of developing the condition. Walking barefoot on a wet floor, not cleaning or trimming your nails, and sharing tools, socks and shoes can also increase your risk, as fungi thrive in unhygienic conditions.
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Treatment of mycotic nails
Mycotic nails are a fungal infection that affects the toenails or fingernails. The word 'mycotic' means an infection with a fungus or a disease caused by a fungus. The infection causes the nail to separate from the nail bed, becoming thick and fragile. The nail colour may also change and the nail may become painful. Mycotic nails are also known as onychomycosis, which means 'fungal nail infection'.
Mycotic nail infections are very common, affecting about 10% of the general population. Older adults are more likely to suffer from them, with about 20% of people over 60 and 50% of people over 70 getting mycotic nails at some point. Toenails are more commonly affected than fingernails because fungus grows more readily in warm, dark, moist areas like enclosed shoes.
If you think you have a mycotic nail infection, you should see your doctor. They may prescribe oral or topical antifungal medications. Oral antifungals are usually the most effective way to get rid of a nail infection, but they can take several months to work. Topical antifungals are rubbed or brushed onto the nails and may work for mild infections, but they cannot penetrate deep enough into the nail to cure more serious infections.
In some cases, if other treatments are not effective, it may be necessary to remove part or all of the affected nail. Even with treatment, mycotic nail infections have a tendency to recur, so it is important to take steps to prevent a recurrence. This includes keeping the affected area clean and dry, wearing clean socks and well-fitted shoes, and taking care of any injuries promptly. You can also use antifungal powder or spray on your feet and in your shoes, and throw away old pairs of closed-toe shoes that may be harbouring fungi.
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Prevention of mycotic nails
Mycotic nails are fungal nail infections that can occur on both the fingernails and toenails. However, they are more commonly found on the toenails, as fungus grows more readily in warm, dark, and moist areas like enclosed shoes.
To prevent mycotic nails, it is important to keep your feet clean and dry, wear clean socks and well-fitted shoes, and take care of any injuries promptly. You should also avoid sharing a shower stall without cleaning it first and keep your feet away from other people to prevent passing on the infection.
Additionally, it is important to see a healthcare provider when you notice symptoms of mycotic nails to prevent complications. Your healthcare provider will likely diagnose your mycotic nail by looking at it, asking about your symptoms, and possibly taking a nail clipping to examine under a microscope or send to a laboratory for a fungal culture.
It is also recommended to ask your healthcare provider about the possibility of developing athlete's foot, a fungal skin infection that can occur alongside mycotic nails, and what preventative measures you can take.
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Recurrence of mycotic nails
Mycotic nails are a fungal infection that affects the nails, causing them to change colour and become thick, fragile and separated from the nail bed. The condition is also known as onychomycosis, which translates to 'nail fungal infection'. While anyone can develop mycotic nails, certain factors increase your risk, including:
- Age: The condition is more common in older adults, with about 20% of people over 60 and 50% of people over 70 affected.
- Family history: You may be genetically predisposed to mycotic nails, so if other family members have experienced it, you are more likely to as well.
- Underlying health conditions: Those with diabetes, psoriasis or athlete's foot are more susceptible to mycotic nails.
- Unhygienic practices: Walking barefoot on wet floors, not cleaning or trimming nails, and sharing personal items like tools, socks and shoes can create an environment conducive to fungal growth.
Despite advances in treatment strategies, mycotic nails can be challenging to eradicate due to the aggressive nature of fungal infections. Recurrence is a concern, and prevention is crucial. To reduce the likelihood of mycotic nail recurrence, it is essential to address the underlying risk factors and maintain good nail hygiene. This includes keeping nails clean and trimmed, avoiding walking barefoot in damp areas, and not sharing personal items that could harbour fungi. Additionally, wearing well-ventilated shoes can help prevent moisture buildup, creating an unfavourable environment for fungal growth.
For those with a family history of mycotic nails or underlying health conditions, proactive nail care and regular monitoring are essential. Early detection and treatment can help prevent the infection from becoming more severe and reduce the chances of recurrence. While mycotic nails can affect anyone, understanding the risk factors and taking preventive measures can significantly lower the chances of developing this condition and experiencing recurrence.
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Frequently asked questions
Mycotic nails are a fungal infection that affects your nails. They are also known as onychomycosis.
The nail becomes thick and fragile and separates from the nail bed. The nail colour may change to brown, white or black. There may also be an unpleasant smell and pus formation.
About 10% of the general population will have mycotic nails at some point in their life. It gets more common as you age. About 20% of people older than 60 and 50% of people older than 70 get mycotic nails.
Fungal growth mostly appears when there is an unhygienic condition such as walking barefoot on a wet floor, not cleaning and trimming nails or sharing things like tools, socks and shoes. You may also be genetically predisposed to mycotic nails.
There have been advances in the strategies to manage mycotic nails, from basic germicides with some antifungal action to the current day where there is a growing array of specific antifungal antimicrobials.











































