Treatment of onychomycosis with nail avulsion and topical ketoconazole.

A new, effective treatment alternative for onychomycosis is presented. It involves the avulsion of the affected toenails and daily application of topical ketoconazole cream. It is an ideal procedure when few nails are involved or when the patient is not a candidate for oral systemic therapy. The authors provide a brief review of past treatment methods, the medication itself, and details of the treatment course.