Subclinical onychomycosis in patients with type II diabetes

Fungal organisms could be present in the nail without any clinical manifestations. As onychomycosis in diabetics has more serious complications, early detection of such infection could be helpful to prevent them. We aim in this study to assess the possibility of detecting subclinical onychomycosis i...

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Main Authors: Amira Elbendary, Amira El Tawdy, Naglaa Zaki, Mostafa Alfishawy, Amr Rateb
Format: Article
Language:English
Published: PAGEPress Publications 2015-12-01
Series:Dermatology Reports
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/dr/article/view/6099
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author Amira Elbendary
Amira El Tawdy
Naglaa Zaki
Mostafa Alfishawy
Amr Rateb
author_facet Amira Elbendary
Amira El Tawdy
Naglaa Zaki
Mostafa Alfishawy
Amr Rateb
author_sort Amira Elbendary
collection DOAJ
description Fungal organisms could be present in the nail without any clinical manifestations. As onychomycosis in diabetics has more serious complications, early detection of such infection could be helpful to prevent them. We aim in this study to assess the possibility of detecting subclinical onychomycosis in type II diabetic patients and addressing possible associated neuropathy. A cross sectional, observational study included patients with type II diabetes with normal big toe nail. All were subjected to nail clipping of the big toe nail, followed by staining with Hematoxylin and Eosin and Periodic-Acid-Schiff (PAS) stains and examined microscopically. A total of 106 patients were included, fungal infection was identified in eight specimens, all were uncontrolled diabetes, and six had neuropathy. Using the nail clipping and microscopic examination with PAS stain to detect such subclinical infection could be an applicable screening test for diabetic patients, for early detection and management of onychomycosis.
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spelling doaj.art-3d8572e766da4e39bb7024e76a2079f42022-12-21T18:57:49ZengPAGEPress PublicationsDermatology Reports2036-73922036-74062015-12-017310.4081/dr.2015.60993225Subclinical onychomycosis in patients with type II diabetesAmira Elbendary0Amira El Tawdy1Naglaa Zaki2Mostafa Alfishawy3Amr Rateb4Department of Dermatology, Kasr Al Ainy Faculty of Medicine, Cairo University, Egypt; Ackerman Academy of Dermatopathology, New York, NYDepartment of Dermatology, Kasr Al Ainy Faculty of Medicine, Cairo UniversityDepartment of Dermatology, Kasr Al Ainy Faculty of Medicine, Cairo UniversityDepartment of Internal Medicine, Kasr Al Ainy Faculty of Medicine, Cairo University, Egypt; Department of Medicine, Queens Hospital Center/Ichan school of Medicine at Mount Sinai, New York, NYDepartment of Dermatology, Kasr Al Ainy Faculty of Medicine, Cairo UniversityFungal organisms could be present in the nail without any clinical manifestations. As onychomycosis in diabetics has more serious complications, early detection of such infection could be helpful to prevent them. We aim in this study to assess the possibility of detecting subclinical onychomycosis in type II diabetic patients and addressing possible associated neuropathy. A cross sectional, observational study included patients with type II diabetes with normal big toe nail. All were subjected to nail clipping of the big toe nail, followed by staining with Hematoxylin and Eosin and Periodic-Acid-Schiff (PAS) stains and examined microscopically. A total of 106 patients were included, fungal infection was identified in eight specimens, all were uncontrolled diabetes, and six had neuropathy. Using the nail clipping and microscopic examination with PAS stain to detect such subclinical infection could be an applicable screening test for diabetic patients, for early detection and management of onychomycosis.http://www.pagepress.org/journals/index.php/dr/article/view/6099Diabetes mellitus type IIonychomycosis: nail clipping: neuropathy: subclinical disease
spellingShingle Amira Elbendary
Amira El Tawdy
Naglaa Zaki
Mostafa Alfishawy
Amr Rateb
Subclinical onychomycosis in patients with type II diabetes
Dermatology Reports
Diabetes mellitus type II
onychomycosis: nail clipping: neuropathy: subclinical disease
title Subclinical onychomycosis in patients with type II diabetes
title_full Subclinical onychomycosis in patients with type II diabetes
title_fullStr Subclinical onychomycosis in patients with type II diabetes
title_full_unstemmed Subclinical onychomycosis in patients with type II diabetes
title_short Subclinical onychomycosis in patients with type II diabetes
title_sort subclinical onychomycosis in patients with type ii diabetes
topic Diabetes mellitus type II
onychomycosis: nail clipping: neuropathy: subclinical disease
url http://www.pagepress.org/journals/index.php/dr/article/view/6099
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AT mostafaalfishawy subclinicalonychomycosisinpatientswithtypeiidiabetes
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