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                | © All-Russian National Academy of Mycology, 
                    2001© A. Sergeev, 1999-2001
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                |  | Step 
                  Four. Location |   
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                |  | 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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                |  | Coming 
                  next: impact of age
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