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Besides interfering with normal nail function, fungal nail infections are relatively painful, unsightly in appearance, disrupt daily activities, and have a negative psychosocial connotation. Commonly reported psychosocial factors are embarrassment, low self\u2010esteem, and social withdrawal. Yet advances in therapy have been achieved since these reports were made, and many of these treatment options have proven to be more effective. Thus, the impact of these advances on psychosocial well\u2010being of patients with onychomycosis is worth analyzing. The objective of this paper is to review studies that investigated the psychosocial impact of onychomycosis on a variety of patient populations. An alternative, total patient approach that dermatologists and general practitioners alike could use to incorporate patients' psychosocial well\u2010being into the holistic management of onychomycosis will also be discussed.<\/jats:p>","DOI":"10.1111\/ijd.12122","type":"journal-article","created":{"date-parts":[[2013,10,25]],"date-time":"2013-10-25T12:38:36Z","timestamp":1382704716000},"page":"1300-1307","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["Psychosocial impact of onychomycosis: a review"],"prefix":"10.1111","volume":"52","author":[{"given":"Anna","family":"Chacon","sequence":"first","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery Miller School of Medicine University of Miami Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katlein","family":"Franca","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery Miller School of Medicine University of Miami Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Fernandez","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery Miller School of Medicine University of Miami Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keyvan","family":"Nouri","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Cutaneous Surgery Miller School of Medicine University of Miami Miami FL USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,25]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"255","DOI":"10.2340\/00015555-0224","article-title":"Health\u2010related quality of life and nail disorders","volume":"87","author":"Tabolli S","year":"2007","journal-title":"Acta Derm Venereol"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2011.02.038"},{"key":"e_1_2_5_4_1","first-page":"21","article-title":"Onychomycoses: epidemiology, causative agents and assessment of diagnostic laboratory methods","volume":"44","author":"Nazar JR","year":"2012","journal-title":"Rev Argent Microbiol"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(08)81836-1"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.135.7.852"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00015550152384425"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2710.2009.01107.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(99)70047-2"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-011-2251-5"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2006.02004.x"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0151-9638(07)92529-6"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.2000.00012.x"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-42302008000600020"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(96)90064-X"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.2165\/00019053-200119030-00005"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.2165\/00128071-200001010-00002"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1994.tb06087.x"},{"key":"e_1_2_5_19_1","first-page":"513","article-title":"Diagnosing and treating onychomycosis","volume":"42","author":"Zaias N","year":"1996","journal-title":"J Fam Pract"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2230.1992.tb00276.x"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-4362.1997.00163.x"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.2165\/11592120-000000000-00000"},{"key":"e_1_2_5_23_1","first-page":"1275","article-title":"Onychomycosis and quality of life","volume":"130","author":"Fouilloux B","year":"2003","journal-title":"Ann Dermatol Venereol"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00449429"},{"key":"e_1_2_5_25_1","unstructured":"Embarrassment in Webster's Revised Unabridged DictionaryWordNet Editor2006 Princeton University."},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(98)70199-9"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0507.2008.01618.x"},{"key":"e_1_2_5_28_1","unstructured":"Gender. 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