The follow-up results of a 9-month observational study of 150 onychomycosis
patients treated with a variety of mechanical, topical, and oral therapies
by podiatric physicians and dermatologists are presented. Changes from bas
eline in toenail condition and patient satisfaction were assessed at 4- and
9-month follow-up. At 9 months, patients who had received oral therapy rep
orted significantly fewer onychomycosis-related problems in social situatio
ns, including embarrassment or self-consciousness about the appearance of n
ails, avoidance of contact by others, being perceived as unclean or untidy,
and the desire to keep their nails concealed. Patient-reported satisfactio
n with the treatment program was significantly higher for those receiving o
ral therapy than for those receiving nonoral therapy.