Here's a one off case presentation of a patient who I have seen a couple of times so far this year and I was curious as to whether anyone has any concrete information.
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Sixty-three year old male patient with no significant medical history presented with a 10 year + case of onychomycosis of the R hallux. I had my initial consult with him early Feb 2012.
He reported that he had trialled Loceryl topical religiously for 10-12 months a few years back with no success. Following a positive KOH test he took two courses of oral terbinafine which also provided no success. "Out of desperation" (his words) he took to the internet to try and find an option and has since been applying undiluted white vinegar to clean, dry feet twice a day for approx 3-4/12 and reports significant improvement. Far and beyond that of anything else he has trailled.
I saw him againg today, 1/12 after the initial consult and the new nail coming through at the proximal nail plate looks unaffected except for about 20% of the nail on the tibial border. He reports that for the last 10 years no unaffected nail has ben produced.
I will be following up with him in approx 8/52 to reduce the affected tissue and out of my own curiosity! I was hoping that someone out there might have some decent scientific research as to why vinegar works, or even a plausable theory, as all I've been able to find is hearsay on blogs.
Thanks all, Leigh
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