Accepted Answer

Hi,

 

Thank you for submitting your question. It sounds like you have toenail fungus. Toenails that are infected with fungus are thick, brittle, and has a greyish/yellowish appearance.

 

Nail fungus can be difficult to treat, and repeated infections are common. Over-the-counter antifungal nail creams and ointments are available, but they aren't very effective.

To treat nail fungus, your doctor may prescribe an oral antifungal medication. Studies have shown the most effective treatments to be terbinafine (Lamisil) and itraconazole (Sporanox). However, antifungal drugs may cause side effects ranging from skin rashes to liver damage.

 

If you have a mild infection, your doctor may prefer to prescribe an antifungal nail polish called ciclopirox (Penlac). You paint it onto your infected nails and surrounding skin once a day. After seven days, you wipe the piled-on layers clean with alcohol and begin fresh applications.

In terms of the rash on your left hand, if it goes away with the use of topical cortisone, then it is most likely eczema, a common inflammatory skin condition. Be sure to keep your hands well-moisturized and protect with gloves when you handle harsh chemicals like dish soap.

Expert:	Dr Wu
Pos. Feedback:	100.0 %
Accepts:
Answered:	10/12/2009

Doctor (MD)

Board certified family physician, extensive experience in adult medicine, specalizes in geriatrics.