title: [Onychomycosis. Successful treatment with a 1064 nm Nd:YAG-Laser].
abstract: A 58-year-old man presented with a two-year history of progressive onychodystrophy of the nails of both great toes. Clinical inspection as well as KOH examination and culture confirmed the diagnosis of disto-lateral onychomycosis of both nails caused by Trichophyton rubrum). The diseased nail materially was mechanically débrided. In addition both nails were treated with a 1064 nm Nd:YAG laser (spot-diameter: 5 mm; pulse-width: 0.3 ms; fluence: 12 J/cm(2); frequency: 5 Hz; impulses: 200 per toenail). The laser therapy was repeated four times at intervals of 2 months. Seven months later the patient showed complete clearance of both nails. We here demonstrate the efficacy of the Nd:YAG laser in the treatment of onychomycosis. Non-ablative laser therapy may present a promising, effective, well-tolerated and cost-efficient option for the treatment of onychomycosis. Controlled studies with relevant patient collectives are urgently needed.
authors: Hautklinik, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
authors: N
authors: N
authors: Bunert
authors: B
authors: B
authors: Homey
authors: P A
authors: PA
authors: Gerber
mesh_terms: D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods*; D005533:Foot Dermatoses / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D014009:Onychomycosis / Q000175:diagnosis / Q000628:therapy*; D014005:Tinea / Q000175:diagnosis / Q000628:therapy*; D016896:Treatment Outcome
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