West Houston Dermatology

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Nail Fungus

Skin conditions - nail fungus


Nail fungus is made up of tiny organisms that can infect fingernails and toenails. These organisms are called dermatophytes. Nail fungus is very common. More than 35 million people in the United States have it under their nails. A nail fungus infection is also called onychomycosis (ON-i-ko-my-KO-sis).The nail fungus moves in under the nail. The nail provides a safe place for the fungus and protects it while it grows. That’s why it’s so hard to reach and stop nail fungus. Most often, nail fungus appears in the toenails. This is because socks and shoes keep the toenails dark, warm, and moist. This is a perfect place for the fungus to grow.The organisms that make up nail fungus can sometimes spread from one person to another because these organisms can live where the air is often moist and people’s feet are bare. This can happen in places like shower stalls, bathrooms, or locker rooms, or it can be passed along when you share a nail file or clippers with someone who has a nail fungus infection. Nail fungus may also spread from one of your nails to other nails.


Most often, the tiny fungus gets under the nail and takes hold. Anything that damages a nail can make it easier for the fungus to move in, such as:

  • An injury (like banging a fingernail with a hammer)
  • Tight shoes that pinch the toes


Many people are at risk for getting nail fungus:

  • People who share locker rooms, bathrooms, showers, and swimming pools.
  • Anyone whose feet sweat a lot at work or at play.
  • People who are hard on their feet, such as athletes, runners, and dancers.
  • People who have had athlete’s foot in the past (a fungal skin infection that makes the skin between the toes get itchy and sore and causes it to crack or peel).
  • People who get manicures or pedicures in salons that don’t keep nail clippers, emery boards, and other tools clean.
  • People over 65 years of age.
  • People with medical problems, such as poor circulation (blood flow), diabetes, or immune system disease (such as AIDS or HIV infection).
Nail fungus treatments