© All-Russian National Academy of Mycology, 2001
© A. Sergeev, 1999-2001

  Step Four. Location
  Location, i.e. finger or toe that carries affected nail is an obvious treatment success determining factor, as systemic treatment schemes for fingernails and toenails are different.
But difference in growth rate exists even between fingers of the same extremity. We know that thumbnails and big toe nails grow almost twice slower than other nails of that extremity. Known difference between growth rate of the thumbnails and big toe nails is about 1,5. So we can see that their outgrowth times relate to each other as 2 to 3. The fingernails of II-V fingers grow approximately 3 times faster (0,1 mm/month) than big toenails. So, their outgrowth times relate to each other as 1 to 3 (where the slower is the larger value). In nails of II-V toes outgrowth time is close to the time for thumbnail because of the faster rate but greater length of the latter. From above numbers we can see that the 1-2-3 grading becomes possible here also.
 
   
 
 
 
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