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By Mayo Clinic staffYou may have a nail fungal infection — also called onychomycosis (on-i-ko-mi-KO-sis) — if one or more of your nails are:
- Thickened
- Brittle, crumbly or ragged
- Distorted in shape
- Dull, with no luster or shine
- A dark color, caused by debris building up under your nail
Infected nails also may separate from the nail bed, a condition called onycholysis. You may feel pain in your toes or fingertips and detect a slightly foul odor.
When to see a doctor
Once a nail fungal infection begins, it can persist indefinitely if not treated. See your doctor at the first sign of nail fungus, which is often a tiny white or yellow spot under the tip of your nail.
- Onychomycosis. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec10/ch125/ch125c.html?qt=nail%20fungus&alt=sh. Accessed June 30, 2009.
- Goldstein A, et al. Onychomycosis. http://www.uptodate.com/home/index.html. Accessed June 30, 2009.
- Nail problems. American Podiatric Medical Association. http://www.apma.org/MainMenu/Foot-Health/FootHealthBrochures/GeneralFootHealthBrochures/NailProblems.aspx. Accessed June 30, 2009.
- Watanabe D, et al. Successful treatment of toenail onychomycosis with photodynamic therapy. Archives of Dermatology. 2008;144:19.
- De Berker D. Fungal nail disease. The New England Journal of Medicine. 2009;360:2108.
- Hinojosa J, et al. Which antifungal is best for toenail onychomycosis? The Journal of Family Practice. 2007;56:581.