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Use of Urea in nail removal

Discussion in 'General Issues and Discussion Forum' started by gavw, Mar 6, 2009.

  1. gavw

    gavw Active Member


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    Hi to all.

    Would someone be kind enough to outline the procedure where urea 40% is used to remove the nail plate?

    I ask in relation to enhancing local drug delivery to a 9 year old child with a proven fungal infection, where topical treatment and frequent nail debridement has been ineffective.

    Many thanks

    Gavin Wylie
     
  2. Cameron

    Cameron Well-Known Member

    gavw

    You use occlusive dressings over the nail with urea. Keep covered and replace every 2-4 days. Usually with 14 to 21 days the nails sheds. Watch out for skin reaction though as this can arise in sensitive skins (urticaria).

    Foot note - shedding the nail may not assist in the treatment of fungal infection as the infection site is invariably the matrix. Maureen O'Donnell did some work using nail avulsions and topical antifungal agents some time ago. No too sure of the final outcomes but seem to remember it was not 100% successful.

    cheers
    toeslayer
     
  3. Ian Drakard

    Ian Drakard Active Member

    Hi Gavin

    Did you try this in the end? How did you get on?

    Ian
     
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