Severe Onychomycosis with Dermatophytoma Successfully Treated with Long Pulsed Nd: Yag Laser

Onychomycosis is a highly prevalent disease, with an incidence of 10% in general population. Rates are even higher in the elderly, reaching 50% in individuals over 70 years. In addition to the obvious aesthetic impairment, functional debility also occurs as patients often experience pain, difficulty putting on shoes and walking, fungal spread to the skin and risk of acute paronychia. Furthermore, it is a gateway for bacteria and can lead to erysipela [1].