What are the risk factors for onychomycosis?

March 9, 2024

Several factors can increase the risk of developing onychomycosis (fungal nail infection). These risk factors include:

  1. Age: Onychomycosis is more common in older adults. As people age, their nails become thicker and more brittle, making them more susceptible to fungal infections.
  2. Poor Circulation: Conditions that affect blood circulation, such as diabetes, peripheral vascular disease, or peripheral neuropathy, can increase the risk of onychomycosis by impairing the body’s immune response and blood flow to the nails, making them more susceptible to fungal infections.
  3. Trauma to the Nails: Injuries to the nails, such as nail trauma, repetitive microtrauma (e.g., from tight shoes or sports activities), or nail surgery, can create openings in the nail plate, allowing fungi to enter and cause infection.
  4. Humidity and Moisture: Warm, humid environments provide an ideal breeding ground for fungi. People who frequently expose their feet or hands to moisture, such as athletes, swimmers, or individuals who wear occlusive footwear, are at higher risk of developing onychomycosis.
  5. Poor Hygiene: Poor foot and nail hygiene, including inadequate washing, drying, or trimming of nails, can contribute to the development of fungal nail infections.
  6. Weakened Immune System: Immunocompromised individuals, such as those with HIV/AIDS, cancer, or autoimmune diseases, have a higher risk of developing onychomycosis due to their weakened immune response.
  7. Family History: There may be a genetic predisposition to fungal nail infections, and individuals with a family history of onychomycosis may be more susceptible to developing the condition.
  8. Peripheral Neuropathy: Peripheral neuropathy, which causes loss of sensation in the feet, can lead to decreased awareness of foot injuries and changes in nail health, increasing the risk of fungal nail infections.
  9. Sharing Personal Items: Sharing contaminated items such as nail clippers, socks, or shoes with someone who has a fungal nail infection can transmit the fungus and increase the risk of infection.
  10. Existing Skin Conditions: People with existing skin conditions such as athlete’s foot (tinea pedis) or psoriasis, which can affect the nails, are at higher risk of developing onychomycosis.

Understanding these risk factors can help individuals take preventive measures to reduce their risk of developing fungal nail infections. Practicing good foot and nail hygiene, wearing breathable footwear, avoiding trauma to the nails, and seeking prompt treatment for skin conditions can all help mitigate the risk of onychomycosis.