Medizinonline Medizinonline
  • News
    • News
    • Market & Medicine
  • Patients
    • Disease patterns
    • Diagnostics
    • Therapy
  • Partner Content
    • Dermatology
      • Atopic dermatitis and psoriasis news
      • Dermatology News
    • Diabetes
      • Dia-Month Club – Type 2 Diabetes
      • Diabetes in Motion
      • Diabetes Podcasts
    • Gastroenterology
      • IBD matters
      • Forum Gastroenterology
      • Ozanimod: ulcerative colitis
      • Reflux Update
    • Immunology
      • Primary immunodeficiency – exchange of experience
    • Vaccinate
      • Herpes zoster
    • Infektiologie
    • Neurology
      • EXPERT ULTRASONIC: Introduction to ultrasound-guided injection
      • MS News
      • MS Therapy in Transition
    • Oncology
      • Swiss Oncology in motion
    • Orthopedics
      • Osteoporosis in motion
    • Phytotherapie
    • Practice Management
      • Aargau Cantonal Bank
      • Claraspital
    • Psychiatry
      • Geriatric Psychiatry
    • Rheumatology
  • Departments
    • Allergology and clinical immunology
    • General Internal Medicine
    • Anesthesiology
    • Angiology
    • Surgery
    • Dermatology and venereology
    • Endocrinology and Diabetology
    • Nutrition
    • Gastroenterology and Hepatology
    • Genetics
    • Geriatrics
    • Gynecology
    • Hematology
    • Infectiology
    • Cardiology
    • Nephrology
    • Neurology
    • Emergency and intensive care medicine
    • Nuclear Medicine
    • Oncology
    • Ophthalmology
    • ORL
    • Orthopedics
    • Pediatrics
    • Pharmacology and toxicology
    • Pharmaceutical medicine
    • Phlebology
    • Physical medicine and rehabilitation
    • Pneumology
    • Prevention and health care
    • Psychiatry and psychotherapy
    • Radiology
    • Forensic Medicine
    • Rheumatology
    • Sports Medicine
    • Traumatology and trauma surgery
    • Tropical and travel medicine
    • Urology
    • Dentistry
  • CME & Congresses
    • CME continuing education
    • Congress Reports
    • Congress calendar
  • Practice
    • Noctimed
    • Practice Management
    • Jobs
    • Interviews
  • Log In
  • Register
  • My account
  • Contact
  • English
    • Deutsch
    • Français
    • Italiano
    • Português
    • Español
  • Publications
  • Contact
  • Deutsch
  • English
  • Français
  • Italiano
  • Português
  • Español
Subscribe
Medizinonline Medizinonline
Medizinonline Medizinonline
  • News
    • News
    • Market & Medicine
  • Patienten
    • Krankheitsbilder
    • Diagnostik
    • Therapie
  • Partner Content
    • Dermatology
      • Atopic dermatitis and psoriasis news
      • Dermatology News
    • Diabetes
      • Dia-Month Club – Type 2 Diabetes
      • Diabetes in Motion
      • Diabetes Podcasts
    • Gastroenterology
      • IBD matters
      • Forum Gastroenterology
      • Ozanimod: ulcerative colitis
      • Reflux Update
    • Immunology
      • Primary immunodeficiency – exchange of experience
    • Vaccinate
      • Herpes zoster
    • Infektiologie
    • Neurology
      • EXPERT ULTRASONIC: Introduction to ultrasound-guided injection
      • MS News
      • MS Therapy in Transition
    • Oncology
      • Swiss Oncology in motion
    • Orthopedics
      • Osteoporosis in motion
    • Phytotherapie
    • Practice Management
      • Aargau Cantonal Bank
      • Claraspital
    • Psychiatry
      • Geriatric Psychiatry
    • Rheumatology
  • Departments
    • Fachbereiche 1-13
      • Allergology and clinical immunology
      • General Internal Medicine
      • Anesthesiology
      • Angiology
      • Surgery
      • Dermatology and venereology
      • Endocrinology and Diabetology
      • Nutrition
      • Gastroenterology and Hepatology
      • Genetics
      • Geriatrics
      • Gynecology
      • Hematology
    • Fachbereiche 14-26
      • Infectiology
      • Cardiology
      • Nephrology
      • Neurology
      • Emergency and intensive care medicine
      • Nuclear Medicine
      • Oncology
      • Ophthalmology
      • ORL
      • Orthopedics
      • Pediatrics
      • Pharmacology and toxicology
      • Pharmaceutical medicine
    • Fachbereiche 26-38
      • Phlebology
      • Physical medicine and rehabilitation
      • Phytotherapy
      • Pneumology
      • Prevention and health care
      • Psychiatry and psychotherapy
      • Radiology
      • Forensic Medicine
      • Rheumatology
      • Sports Medicine
      • Traumatology and trauma surgery
      • Tropical and travel medicine
      • Urology
      • Dentistry
  • CME & Congresses
    • CME continuing education
    • Congress Reports
    • Congress calendar
  • Practice
    • Noctimed
    • Practice Management
    • Jobs
    • Interviews
Login

Sie haben noch keinen Account? Registrieren

  • Interview with Prof. Dr. med. Carola Berking, Munich

“Mushrooms tend to be less likely to discolor”.

    • Dermatology and venereology
    • Interviews
    • Oncology
    • RX
  • 2 minute read

   

Prof. Berking, manicures and pedicures are sometimes also used to conceal nail changes. Does this make malignant tumors of the nail organ more likely to be overlooked?


Prof. Berking:
That’s certainly possible, but I can’t tell you exact figures on that. I have yet to see painting cause a delay in a diagnosis. It is more dangerous when a patient takes lightly a pigmentation on the nail, which does not hurt. Or when patients thought their changes came from jogging: Although they noticed that there was something unusual, they only went to the doctor very late. These patients certainly regretted waiting so long. It seems unimaginable to many that such a small spot on a fingernail or toenail has already led to lung or liver metastases.

Differential diagnosis to fungal diseases is often an issue, especially in elderly patients. Today, with the ability  to self-medicate, is timely diagnosis of subungual melanoma more likely to be missed?

It happens. The dilemma here is that the doctor can also delay the diagnosis. Fungal treatment is a matter of months, it requires a lot of patience. Today, nail fungal diseases are a disease of civilization. Patients do not worry for a long time, because it does not hurt. Therapy is often protracted, injuries to the nail lead to promote dissemination. The situation not only looks unsightly, it leads to nail growth disorders.

What should the family doctor look for in a well-groomed old lady when treating her for nail fungus?

First, it is important to verify the diagnosis in the case of pigmentary changes. Fungi are rather less likely to discolor. One has to wonder if a hemorrhage could be behind it. Bleeding and destruction without cause proximal or in the middle of a single nail are other warning signs. Onychomycosis (Fig. 1) usually begins distally and affects multiple nails.

When the diagnosis of onychomycosis is confirmed and all nails are deeply infested: When is systemic therapy indicated?

Unfortunately, local therapy is only promising in single infestations and only up to about 30% of the affected nail surface. If an infestation goes beyond this, medication is required.

What are the side effects? What should you pay attention to?

These may be skin changes or liver enzymes may increase. But the majority of patients tolerate the medication well.

Interview: Susanne Schelosky, M.D.

Publikation
  • DERMATOLOGIE PRAXIS
Related Topics
  • fungus
  • liver metastasis
  • lung metastasis
  • manicure
  • pedicure
  • Procrastinate
  • self-medication
  • Therapy
Previous Article
  • 100 years SGDV/SSDV

“We don’t have any worries about new recruits”.

  • Congress Reports
  • Dermatology and venereology
  • Interviews
  • RX
View Post
Next Article
  • Mild and moderate depression

St. John’s wort – an effective alternative

  • News
  • Pharmacology and toxicology
  • Psychiatry and psychotherapy
  • RX
View Post
You May Also Like
View Post
  • 8 min
  • Psychooncology

Communication as the key to therapy adherence

    • CME continuing education
    • General Internal Medicine
    • Practice Management
    • RX
View Post
  • 16 min
  • Blastic plasmacytoid dendritic cell neoplasia

Rare malignancy from a dermatological perspective

    • CME continuing education
    • Dermatology and venereology
    • Genetics
    • Hematology
    • Oncology
    • RX
View Post
  • 4 min
  • From symptom to diagnosis

Lung carcinoma – Pancoast tumor

    • Cases
    • Education
    • Oncology
    • Pneumology
    • Radiology
    • RX
    • Surgery
View Post
  • 5 min
  • Deep vein thrombosis

Outpatient or inpatient treatment?

    • Angiology
    • Cardiology
    • Congress Reports
    • General Internal Medicine
    • Phlebology
    • RX
    • Studies
View Post
  • 4 min
  • From symptom to diagnosis

Abdominal pain – Intraductal papillary mucinous neoplasia

    • Cases
    • Gastroenterology and Hepatology
    • General Internal Medicine
    • Oncology
    • Radiology
    • RX
    • Surgery
View Post
  • 14 min
  • IBDmatters - Advanced Therapeutic Treatments

Examinations and considerations before therapy

    • CME continuing education
    • Gastroenterology and Hepatology
    • General Internal Medicine
    • Infectiology
    • RX
    • Studies
    • Training with partner
View Post
  • 2 min
  • “Swiss Health Care Atlas”

Supply situation in Switzerland at a glance

    • General Internal Medicine
    • Practice Management
    • Prevention and health care
    • RX
View Post
  • 7 min
  • Steatotic liver disease

GLP-1RA in MASH – what’s new?

    • Congress Reports
    • Endocrinology and Diabetology
    • Gastroenterology and Hepatology
    • General Internal Medicine
    • Pharmacology and toxicology
    • RX
    • Studies
Top Partner Content
  • Forum Gastroenterology

    Zum Thema
  • Herpes zoster

    Zum Thema
  • Dermatology News

    Zum Thema
Top CME content
  • 1
    Rare malignancy from a dermatological perspective
  • 2
    Communication as the key to therapy adherence
  • 3
    Patience, knowledge and persistence in therapy
  • 4
    Sarcopenia and malnutrition in the context of pneumological rehabilitation
  • 5
    Medical and psychosocial perspectives

Newsletter

Sign up and stay up to date

Subscribe
Medizinonline
  • Contact
  • General terms and conditions
  • Imprint

Input your search keywords and press Enter.