The prevalence of Onychomycosis in children is estimated to be 0.2%. Although griseofulvin is currently regarded the treatment of choice for paediatric dermatophyte infections, this may not be the case for onychomycosis. Several writers recommend topical antifungals as first-line treatment since they can possibly penetrate the thin nail plate of children. Terbinafine, itraconazole, and fluconazole have all been used successfully in children.
Additional systemic medication for toe Onychomycosis Treatment should be explored if the nail is thick, lateral onychomycosis, severe onychomycosis, or the patient has immunosuppression, peripheral vascular disease, or diabetes. A terbinafine booster is given for an additional 4 weeks between months 6 and 9 of therapy; similarly, an extra pulse of itraconazole may be given.
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