title: The effect of toenail onychomycosis on patient quality of life.
abstract: BACKGROUND
  Onychomycosis is a common fungal infection of the toenails which has historically been regarded as a cosmetic problem. A previous study has suggested that this is not the case and that toenail and fingernail onychomycosis adversely impacts patient quality of life (QOL).
  
  
  METHODS
  A survey was used to self-assess the physical symptoms and psychosocial dimensions of toenail onychomycosis in 93 patients. Positive responses scored one point each, and points were summed for each patient.
  
  
  RESULTS
  Ninety-two per cent of patients reported experiencing negative psychosocial and/or physical effects. Forty-four per cent indicated that their toenails had a negative effect on their self-image, and 41% reported experiencing pain or discomfort as a result of onychomycosis.
  
  
  CONCLUSIONS
  Toenail onychomycosis has a significant impact on the overall QOL of patients, and should be evaluated further to develop guidelines for total patient care.
authors.affiliation: Department of Dermatology, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.
authors.forename: B E
authors.initials: BE
authors.lastname: Elewski
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D004954:Esthetics; D005260:Female; D005533:Foot Dermatoses / Q000503:physiopathology / Q000523:psychology / Q000628:therapy; D006229:Hand Dermatoses / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D014009:Onychomycosis / Q000503:physiopathology / Q000523:psychology* / Q000628:therapy; D010146:Pain / Q000503:physiopathology; D010549:Personal Satisfaction; D011788:Quality of Life; D012648:Self Care; D012649:Self Concept; D012647:Self-Assessment; D012917:Social Adjustment; D011795:Surveys and Questionnaires