Dermatophyte infections: common and persistent
Dermatophyte infections represent one of the most prevalent causes of superficial fungal disease worldwide, affecting 20-25% of the global population. Despite their frequency, they often remain under-recognized or misinterpreted in routine clinical practice.
These infections can persist over time and may be associated with significant patient burden, particularly when visible skin or nail involvement impacts quality of life or social interactions.
What it means
- “Derma” = skin
-
“Mycosis” = fungal infection
So dermatomycosis literally means a fungal infection affecting the skin or its appendages.
It’s usually caused by fungi called dermatophytes, but it can also involve yeasts like Candida.
Examples of dermatomycoses
- Athlete's foot (feet)
- Ringworm (body)
- Jock itch (groin)
- Onychomycosis (nails)
Sources of infection
Infection happens through direct or indirect contact:
- Person-to-person
- Animal-to-human (common with cats and dogs)
- Soil exposure
- Contaminated surfaces (towels, showers, gym floor, combs)
Find dermatology organisations
Connect with dermatology organisations and societies in your country through the International League of Dermatological Societies.
Find patient organisations
Explore a global network of not-for-profit organisations supporting people living with skin conditions.
Learn more about skin health
Explore WHO resources on skin health, common conditions and care
Living with onychomycosis
Why do I feel embarrassed about my nails?
Because nail changes are visible, it is completely understandable to feel self-conscious. Some people avoid open shoes, manicures, swimming pools or situations where their hands or feet might be noticed. These feelings are common, and they deserve to be taken seriously.
Is it normal to want to hide my nails?
Yes. Visible changes can affect confidence, even when the condition itself is not medically severe. You may find yourself choosing different shoes, covering your nails or avoiding certain situations. You do not have to dismiss that impact just because “it is only a nail.”
Will other people think I have poor hygiene?
Some people worry about being judged, but fungal nail infections are not simply a question of cleanliness. If this concern is affecting your confidence or social life, speaking with a healthcare professional may help you feel more in control of the situation.
Why is it so frustrating when improvement takes time?
Because nail growth is slow, visible improvement can take months. That can be discouraging, especially when you are already conscious of how the nail looks. Progress may be gradual even when things are moving in the right direction.
Am I the only person dealing with this?
Definitely not. Fungal nail infections are very common. What can feel very personal or embarrassing is actually something healthcare professionals see regularly.
Consult your doctor for proper diagnosis
Skin, nail, and scalp changes can have many different causes. If you suspect a dermatophyte infection, a healthcare professional can examine the affected area and decide whether testing is needed to confirm the diagnosis.

