Effectiveness of Podiatry Care on Onychomycosis (EPOCAON)
Effectiveness of Podiatry Care on Onychomycosis (EPOCAON)
Onychomycosis occurs in more than 50% of all pathologies unguinal, affecting the health and
 quality of life of the patient. Although the investigators have a wide therapeutic arsenal,
 there is still a disparity when carrying out an effective processing.

 Hypothesis/Objectives:

 To analyze if the use of the podiatric technique of aggressive unguinal abrasion with
 micrometer sports, in combination with topical treatment with amorolfin 5% in hairspray,
 significantly increases the effectiveness clinically as well as mycology.

 The investigators will analyze the relationship between this intervention and the quality
 perception of life related to the health of the nails and the foot.

 The investigators will Use results for next validation study in Spanish of the questionnaire
 NailQoL, as well as validation and reliability of the index SCIO and cost study-effectiveness
 of the processing.

 Method:

 The investigators will design a randomized control trial. The town will be recruited,
 informed prior consent will be obtained from patients of 5 Spanish centers of chiropody, with
 sample size of 313 patients. There will be a screening of 4 weeks to select patients with
 onychomycosis infections (clinic and mycology both positives); later the patients will be
 distributed randomly in 2 groups:

 -  GROUP AM+AU: Will be administered aggressive unguinal abrasion, weeks 0 (baseline), 12
 and 24, followed by standard treatment of amorolfin 5%, two weekly applications during
 36 weeks.

 -  GROUP AM: Will be administered exclusively standard treatment of amorolfin 5%, according
 to common format. The duration will be 48 weeks.
Inclusion Criteria:

 -  People of both sexes with ages between 18 and 75 years.

 -  Having affected at least the nail out of the first toe of a foot.

 -  Having a confirmed diagnosis of onychomycosis with positive and evidence clinic
 mycology (KOH and Cultivation) both positive ones.

 -  The infection should be caused by a fungus dermatology. Will not afford another type
 of infection because of the possibility of false positives for pollution exogen.

 Exclusion Criteria:

 -  Having received in 6 previous months some local treatment or systemic for the
 onychomycosis.

 -  Having dystrophies or alterations ungulates, apart from the ones specific to the
 onychomycosis, that could to interfere in the interpretation of results.

 -  Do not have skills for the application and tracking of the topical treatment with the
 hairspray ungual.

 -  Allergy to one of the ingredients of the nail lacquer

 -  Pregnancy or breastfeeding situation acquaintances at the time of recruitment.

 -  Use of some abrasive or cosmetic product (ej: nail paint) on the treated nail during
 the tracking of the study.

 -  Receiving some type of attendance podology or of Pedicure out of the own ones included
 in the study.