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AOTA: American Occupational Therapy Association; DLSO: Distal lateral subungual onychomycosis; FDA: Food and Drug Administration; Nd: YAG: Neodymium:Yttrium Aluminum Garnet (laser); OSI: Onychomycosis severity index; PAS: Periodic Acid-Schiff stain; PCR: Polymerase Chain Reaction; PWSO: Proximal white subungual onychomycosis; RCT: Randomised Controlled Trial; SWO: Superficial white onychomycosis; TDO: Total dystrophic onychomycosis.
The clinical presentation of onychomycosis was as follows: 108 (54%) presented as DLSO, 48 (24%) cases as PSO, 32 (16%) cases SWO and 12 (6%) cases with TDO (Table 2).
Also, the type of tinea pedis (interdigital, hyperkeratosis, and dyshidrosis) and the type of tinea unguium (DLSO, PSO, WSO, or TDO) were documented.
The most common clinical presentation was DLSO (12/18) followed by total dystrophic onychomycosis (TDO, 5/18) and superficial white onychomycosis (SWO, 1/18).
Conclusions Based on our study, we suggest that in cases of suspected DLSO, material should be obtained by scraping nail material from the distal underside of the nail and then collecting all the material from the distal part of the nail bed.
People of Dovan, Mityal and Sidhheshwor have benefited from the DLSO move, which has been supported by the Asian Development Bank.
Jublia is the first topical triazole antifungal agent developed for distal lateral subungual onychomycosis (DLSO).
Onychomycosis expresses itself in various forms and clinically the disease is classified as distal and lateral subungual onychomycosis (DLSO), superficial white onychomycosis (SWO), proximal subungual onychomycosis (PSO), and candidal onychomycosis.4 Patient may have combination of these various forms.
Although OM is categorized into five different types, distal lateral subungual onychomycosis (DLSO) is the most common clinical presentation (Weinberg et al 2003).
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