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Fungal nail infection (onychomycosis) - Management
When should I refer?

  • Children younger than 18 years of age who require oral antifungals should be referred to dermatology.
    • Fungal nail infection is uncommon in this age group, and the treatments are not licensed.
  • If the nails are traumatized by the person's footwear, or deformed toenails traumatize adjacent toes, refer to podiatry.
  • If the diagnosis is uncertain, refer to dermatology.
  • If treatment is unsuccessful, refer to dermatology.
  • If the person is immunocompromised, refer to dermatology.

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