What should be done for AIDS patients with gray nail (onychomycosis)?

For AIDS patients who develop onychomycosis (fungal nail infection), it is essential to first ensure that antiretroviral therapy for HIV is continuously and effectively managed. Specific treatment measures for onychomycosis include the following: 1. Antiviral treatment: Consistently take prescribed antiretroviral medications such as lamivudine tablets and tenofovir alafenamide fumarate tablets as directed by a physician to control the progression of HIV. 2. Local treatment: Soak affected nails in solutions such as acetic acid (vinegar) or salicylic acid to soften the infected nail and promote its shedding. For severe cases, oral antifungal medications such as itraconazole capsules or fluconazole capsules may be taken under medical supervision. 3. Personal hygiene: Maintain good personal hygiene in daily life. Avoid sharing shoes or socks with others, keep feet clean and dry, and wear well-ventilated footwear and socks whenever possible. 4. Regular monitoring: Regular follow-up examinations are necessary during treatment to monitor disease recovery and adjust the treatment plan according to medical advice. When AIDS patients develop onychomycosis, a comprehensive approach involving antiviral therapy, local treatment, personal hygiene practices, and regular monitoring should be implemented to effectively manage the condition.