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The most common type of toenail fungus is distal subungual onychomycosis (DSO) and distal subungual lateralonychomycosis (DLSO) . The fungus invades the nail bed under the nail, beginning at the distal portion (the hyponychium) and gradually growing inward toward the nail matrix at the base of the nail.2,9  The infection can also enter via the lateral folds on the side of the nail. The chart above depicts the appearance of a distal fungus infection of the toenail with lateral entry. Proximal subungual onychomycosis (PSO) is a relatively uncommon form of nail fungus in the general population. The above table depicts proximal fungal infection in a toenail.  An area of whitish or yellowish discoloration develops in the proximal nail in the region of the lunula (half-moon). White superficial onychomycosis (WSO) accounts for approximately 10% of nail fungus cases.9   The most common causative agent is a fungus called Trichophyton mentagrophytes var interdigitale.
There is a less common presentation of WSO consisting of a diffuse (involving the entire toenail) and deep infection of the nail.
All of the four subtypes of toenail fungus can result in an end-stage disease known as total dystrophic onychomycosis, which involves the entire nail unit.
If you have a toenail or toenails that are thickened and irregular, or have an abnormal color, particularly yellow-brown or white, this may indicate a fungal infection. Hopefully, this overview has given you a better idea of what causes toenail fungus, and what might be growing on your toenail. Hemorrhoids can be extremely painful at times but this is still not considered as a serious problem. Due to excessive amount of blood pressure, the surrounding tissues and the blood vessels become swollen and inflamed, thus resulting to hemorrhoids. Individuals suffering from hemorrhoids have different options available for them in order to manage the condition. Check out our article archive for more information about hemorrhoids or use the Search Box by simply typing in the keyword and hitting the Search button. Giving a talk some years ago at a convention of bankers in some remote resort in Arizona I showed the Koppen-Geiger map of world climates, and explained in very general terms what the colors represent. Introduced in 1928 as a wall map co-authored with student Rudolph Geiger, the Koppen system of classification was updated and modified by Koppen until his death.
Malnutrition is a group of conditions in children and adults generally related to poor quality or insufficient quantity of nutrient intake, absorption, or utilization. Please note that we are unable to respond back directly to your questions or provide medical advice.


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Fungal infections of the toenails also have the potential to spread to other parts of the body. The first three, distal subungual onychomycosis, proximal subungual onychomycosis and white superficial onychomycosis, are based primarily on where the infection starts in the nail. This infection is usually caused by Trichophyton rubrum, a fungus that also causes athlete’s foot and jock itch; most patients with distal toenail fungus have an accompanying athlete’s foot infection (also called tinea pedis). The affected portion of the nail is thickened and yellow-brown in color, with irregular erosion of the nail tip. As opposed to distal nail infections, proximal toenail fungus starts near the cuticle, invades the newly formed nail, and grows outward toward the tip of the nail.
In this setting, the yeast can directly invade the nail plate without first involving the surrounding tissues. In dystrophic onychomycosis, the nail matrix (source of new healthy nail tissue) may become permanently scarred, and the nail plate can be completely destroyed.
Note involvement of the entire nail, which has a shrunken, dystrophic (misshaped) appearance. It is important to note that ignoring toenail fungus will not make it go away; fungal infections do not resolve on their own without treatment. However, once the hemorrhoids become advanced, this may require an immediate medical attention.
The main difference, however, is that severe cases of hemorrhoids can be extremely painful.
There are hemorrhoids home treatments that can be opted for, as well as medications that are suitable for the condition. Read our interesting articles and learn how to treat Hemorrhoids in just a few days with our help. The corporation’s president was so taken by this map that he wanted it for his company’s annual report - it would be so useful, he said, in explaining to representatives posted overseas what they might experience in the way of climate and weather.
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This can be at the nail tip (distal), at the base near the cuticle (proximal) or on the surface of the nail (superficial).


PSO can also occur in those who have other factors that lead to a compromised immune system, such as diabetics and those taking antibiotics over long periods. Individuals with chronic (long-lasting) candidiasis of the skin and mucus membranes are at risk for developing candida infections of the nails. Prompt intervention with agents such as FungicillinTM  can help to stop the insidious spread of toenail fungus, and speed the reappearance of a healthy toenail.
Prevalence and epidemiology of toenail onychomycosis in diabetic subjects: a multicentre survey. White Superficial Onychomycosis: Epidemiological, Clinical, and Pathological Study of 79 Patients.
Hemorrhoids can affect at least 1 out of 20 people and this often occurs when the cushions located inside the anal canal becomes exposed to extreme blood pressure.
Diarrhea and constipation are two of the common trigger factors of the condition, as these can cause straining and aggravation of the blood vessels. Irritation and burning sensation usually accompany the condition, along with the presence of blood when passing stools.
You can also opt for surgical treatments for the condition but this should only be done after going through a thorough diagnosis and only when recommended by a physician.
He had, he said, never seen this map, or anything like it; of course he would have if he had taken an introductory geography course.
The fourth subtype, candidal onychomycosis, is based on the infecting organism, candida. The below table helps to summarize the key characteristics of the four main types of toenail fungus.
However, because the infection involves the proximal nail near the matrix, or source of new nail tissue, severe proximal fungal infections have the potential to destroy the entire nail unit. Candidal infection most commonly involves the fingernails, although the toenails can also be affected.
This blood pressure can cause the cushions to become stretched, thus resulting to hemorrhoids. One notable, yet ancient and misguided example is that of Aristotle's Temperate, Torrid, and Frigid Zones.
However, the 20th century classification developed by German climatologist and amateur botanist Wladimir Koppen (1846-1940) continues to be the authoritative map of the world climates in use today.



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