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RFL - Revue francophone des laboratoires
Vol 41, N° 432  - mai 2011
pp. 71-75
Doi : RFL-05-2011-41-432-1773-035X-101019-201102798
Received : 06 janvier 2011 ;  accepted : 15 mars 2011
Traitement des onychomycoses

Martine Feuilhade de Chauvin [1]
[1] Service de parasitologie-mycologie Hôpital Saint-Louis (AP-HP) 1, av. Claude-Vellefaux 75475 Parsi cedex 10

Tirés à part :



La prise en charge d’une onychomycose nécessite la confirmation du diagnostic clinique par un examen mycologique. L’onychomycose à dermatophyte est une infection par un champignon toujours pathogène et représente l’extension à l’ongle d’une dermatophytose cutanée. L’onychomycose à Candida et l’onychomycose à moisissure sont des infections opportunistes pour lesquelles le rôle pathogène du champignon est discutable et les circonstances favorables importantes.

Le choix thérapeutique des antifongiques locaux ou systémiques et les mesures associées varient selon l’agent fongique responsable et le type d’atteinte de l’appareil unguéal.

Ils reposent sur les recommandations « pour la pratique clinique » de la Société française de dermatologie.

Treament of onychomycosis

Prior to initiating treatment of onychomycosis, it is important that clinical diagnosis be confirmed by mycological examination. Dermatophyte onychomycosis is an infection due to a true pathogen fungus and consecutive of cutaneous dermatophytosis extension to nail. Candida onychomycosis and non dermatophyte moulds onychomycosis are opportunistic infections. The causative role of isolated Candida or moulds in culture may be discussed.

Choice of topical and systemic antifungal drugs and appropriate mesures implicate the causative agent and type of onychomycosis according the recommendations for clinical pratice of the French Dermatological Society.

Mots clés : Traitement , onychomycose à dermatophyte , onychomycose à Candida , onychomycose à moisissure

Keywords: Treatment , dermatophyte onychomycosis , Candida onychomycosis , non dermatophyte moulds onychomycosis

© 2011 Elsevier Masson SAS. Tous droits réservés.
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