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I welcome interesting clinical cases you think might fit here, or any suggestions for subjects you would like to hear more about.


Does fungal nail infection get better on its own?
A question which many patients ask - can my fungal nail infection clear by itself?

Ivan Bristow
6 days ago3 min read


Terbinafine Nail Solution - one step closer in the UK
A new 10% formulation of terbinafine as a topical nail solution is one step closer to being released in the UK.

Ivan Bristow
Dec 2, 20252 min read


Is your patient immunodeficient to fungal skin infection?
Chronic fungal skin infection maybe as a result of immunodeficiency. This blog explores the idea.

Ivan Bristow
Oct 6, 20254 min read


Why do antifungal nail treatments fail?
Treatments don't always work for fungal nail infection - why not? This blog examines possible reasons.

Ivan Bristow
Jul 1, 20258 min read


Dermatophytoma – we've seen this all before.
Dermatophytoma is a fungal biofilm located under the nail.

Ivan Bristow
Jul 4, 20244 min read


Does terbinafine cause liver damage?
Oral terbinafine continues to be the oral drug of choice in the management of onychomycosis, but there continues to be doubt over its...

Ivan Bristow
Oct 3, 20233 min read


Drilling holes in nails – getting to the root of the infection?
How can we improve cure rates when using topical antifungal nail treatments? Published work suggests nail fenestration may help.

Ivan Bristow
Dec 5, 20226 min read


Drug Developments in Onychomycosis
It has been a while since any new drugs have entered the market indicated for the treatment of onychomycosis. In an earlier blog I...

Ivan Bristow
Feb 3, 20213 min read


How safe is oral terbinafine?
How safe is terbinafine? This a question that crops up regularly when speaking to colleagues and patients alike. Terbinafine is an...
Ivan Bristow
Jan 7, 20205 min read
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