Deferring Nail Mycological Sampling during the COVID-19 Pandemic: Recommendations from a Multidisciplinary Panel of Nail Specialists

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Abstract

Onychomycosis is the most common nail condition seen in clinical practice, with significant impact on quality of life. Clinical examination alone is insufficient for accurate diagnosis, but mycological confirmation can be challenging during the COVID-19 pandemic. In this letter, a multidisciplinary panel of dermatologists, a podiatrist, dermatopathologists, and a mycologist, discuss considerations for mycological sampling during the pandemic.

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Most cited references 21

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Part I: Onychomycosis: Clinical Overview and Diagnosis

Shari R Lipner, Richard K. Scher (2018)

Onychomycosis is a fungal nail infection caused by dermatophytes, nondermatophytes, and yeast, and is the most common nail disorder seen in clinical practice. It is an important problem because it may cause local pain, paresthesias, difficulties performing activities of daily life, and impair social interactions. In this continuing medical education series we review the epidemiology, risk factors, and clinical presentation of onychomycosis and demonstrate current and emerging diagnostic strategies.

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Nail digital dermoscopy (onychoscopy) in the diagnosis of onychomycosis.

B Piraccini, R Balestri, Dorine Starace … (2013)

Distal subungual onychomycosis and traumatic onycholysis are the most common causes of toenail abnormalities, and differential diagnosis is often impossible without mycology.

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Onychomycosis is more than a cosmetic problem.

R K Scher (1994)

The nails serve several important functions and, when they are infected by fungal organisms, these functions are severely impaired. In addition, the quality of life, in terms of self-esteem and social interaction, is adversely affected when fungal nail infections are present. Finally, when finger and/or toenails are abnormal this may interfere with patients' occupations.

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Author and article information

Journal

Journal ID (nlm-ta): Skin Appendage Disord

Journal ID (iso-abbrev): Skin Appendage Disord

Journal ID (publisher-id): SAD

Title: Skin Appendage Disorders

Publisher: S. Karger AG (Allschwilerstrasse 10, P.O. Box · Postfach · Case postale, CH–4009, Basel, Switzerland · Schweiz · Suisse, Phone: +41 61 306 11 11, Fax: +41 61 306 12 34, karger@karger.com )

ISSN (Print): 2296-9195

ISSN (Electronic): 2296-9160

Publication date (Electronic): 8 December 2021

Publication date PMC-release: 8 December 2021

Volume: 130

Issue: 43

Pages: 1-4

Affiliations

[1] ^aDepartment of Dermatology, Weill Cornell Medicine, New York, New York, USA

[2] ^bCenter for Medical Mycology, Department of Dermatology, Case Western Reserve University and University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA

[3] ^cDepartment of Dermatology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

[4] ^dDepartment of Dermatology, Dermatology, Oregon Health and Science University, Portland, Oregon, USA

[5] ^eDepartment of Dermatology and Pathology, University of California, San Francisco, California, USA

[6] ^fPalo Alto Medical Foundation, Palo Alto, California, USA

[7] ^gDepartment of Podiatric Medicine, Temple University School of Podiatric Medicine, Philadelphia, Pennsylvania, USA

Author notes

*Shari R. Lipner, shl9032@ 123456med.cornell.edu

Article

Publisher ID: sad-0130-0001

DOI: 10.1159/000520628

PMC ID: 8805071

PubMed ID: 35127838

SO-VID: e4d44e19-7b00-430e-9c7a-002a502c46fc

License:

This article is licensed under the Creative Commons Attribution 4.0 International License (CC BY). Usage, derivative works and distribution are permitted provided that proper credit is given to the author and the original publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

History

Date received : 14 October 2020

Date accepted : 27 October 2021

Page count

Figures: 4, References: 12, Pages: 4

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Deferring Nail Mycological Sampling during the COVID-19 Pandemic: Recommendations from a Multidisciplinary Panel of Nail Specialists

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Abstract

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Karger: Coronavirus / COVID-19

Most cited references 21

Part I: Onychomycosis: Clinical Overview and Diagnosis

Nail digital dermoscopy (onychoscopy) in the diagnosis of onychomycosis.

Onychomycosis is more than a cosmetic problem.

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