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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Swollen Toenail With White Powder Around It

I m a male and will be 61 next week. I m generally very healthy, active and in good physical condition. I ve noticed my right toenail looks swollen & enlarged in comparison to my left with white powder around the nail. I ve a prescription for nystatin foot powder for a couple of years. It was what finally got a nagging case of athlete s foot under control. Nothing else had worked for 15+ years after a product I had previously used was taken off the market because one of the ingredients became FDA banned. The white powder is strange, at first, I thought it was a build up of the foot powder, but I seem to notice it more at certain times, but I haven t been able to link it to environmental or other circumstances.
Fri, 28 Nov 2014
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Dermatologist,  's  Response
Hello,

I can understand your concern for swollen toenail with white powder around it.

After reading your query I can make out that it is the fungal infection of the toe nail.

Big toe area is common site for the fungal infection due to heat and humidity by wearing shoes. So fungus can grow on this site and results in kind of whitish discoloration which you have.

In my patients with your kind of problem I first treat the swelling and rule out any infection the nail. If there is infection then I treat with a course of oral antibiotics and then the fugal infection is treated by oral anti-fungal tablets taken for multiple months.

For antifungal therapy I prefer to give oral terbinafine daily doses as continuous or pulse therapy.
For the best of diagnosis and treatment you meet a dermatologist who can closely examined guide you accordingly.

All the best.
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Suggest Treatment For Swollen Toenail With White Powder Around It

Hello, I can understand your concern for swollen toenail with white powder around it. After reading your query I can make out that it is the fungal infection of the toe nail. Big toe area is common site for the fungal infection due to heat and humidity by wearing shoes. So fungus can grow on this site and results in kind of whitish discoloration which you have. In my patients with your kind of problem I first treat the swelling and rule out any infection the nail. If there is infection then I treat with a course of oral antibiotics and then the fugal infection is treated by oral anti-fungal tablets taken for multiple months. For antifungal therapy I prefer to give oral terbinafine daily doses as continuous or pulse therapy. For the best of diagnosis and treatment you meet a dermatologist who can closely examined guide you accordingly. All the best.