Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, India
Introduction: There is a constant need to define the epidemiological and mycological characteristics of onychomycosis (OM) for optimal management strategies. Objectives: To define the epidemiological and mycological characteristics of patients with dermatophyte toenail OM in a tertiary care hospital...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
| Series: | Indian Journal of Dermatology |
| Subjects: | |
| Online Access: | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=2;spage=153;epage=158;aulast=Yadav |
| _version_ | 1818354437753667584 |
|---|---|
| author | Pravesh Yadav Archana Singal Deepika Pandhi Shukla Das |
| author_facet | Pravesh Yadav Archana Singal Deepika Pandhi Shukla Das |
| author_sort | Pravesh Yadav |
| collection | DOAJ |
| description | Introduction: There is a constant need to define the epidemiological and mycological characteristics of onychomycosis (OM) for optimal management strategies. Objectives: To define the epidemiological and mycological characteristics of patients with dermatophyte toenail OM in a tertiary care hospital. Materials and Methods: Hundred consecutive patients of KOH and culture-positive dermatophyte toenail OM were subjected to detailed history, clinical examination and investigations. Results: Maximum number of patients (40%) belonged to 31-45 years age group and there was a male preponderance (M:F = 6.7:1). The mean duration of disease was 54 months. Thirty-three patients had fingernail involvement in addition to the toenail OM and 37% had co-existent cutaneous dermatophyte infection. Discoloration was the most common symptom (98%). Ninety-four (94%) patients had distal lateral subungual onychomycosis (DSLO) while two had superficial onychomycosis (SO) and only one had proximal superficial onychomycosis (PSO). Trichophyton interdigitale was the most common etiological agent (61%) followed by Trichophyton rubrum and Trichophyton verrucosum. Conclusions: Toenail OM is more common in males. DSLO was the most common clinical variant and T. interdigitale the most common etiological fungus responsible for toenail OM in our region. The importance of early diagnosis and treatment is highlighted as long-standing toenail OM predisposes to fingernail onychomycosis and recurrent tinea pedis. |
| first_indexed | 2024-12-13T19:25:25Z |
| format | Article |
| id | doaj.art-765e420ec41e4265b74a9eea2ecbd90c |
| institution | Directory Open Access Journal |
| issn | 0019-5154 1998-3611 |
| language | English |
| last_indexed | 2024-12-13T19:25:25Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Dermatology |
| spelling | doaj.art-765e420ec41e4265b74a9eea2ecbd90c2022-12-21T23:34:03ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112015-01-0160215315810.4103/0019-5154.152511Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, IndiaPravesh YadavArchana SingalDeepika PandhiShukla DasIntroduction: There is a constant need to define the epidemiological and mycological characteristics of onychomycosis (OM) for optimal management strategies. Objectives: To define the epidemiological and mycological characteristics of patients with dermatophyte toenail OM in a tertiary care hospital. Materials and Methods: Hundred consecutive patients of KOH and culture-positive dermatophyte toenail OM were subjected to detailed history, clinical examination and investigations. Results: Maximum number of patients (40%) belonged to 31-45 years age group and there was a male preponderance (M:F = 6.7:1). The mean duration of disease was 54 months. Thirty-three patients had fingernail involvement in addition to the toenail OM and 37% had co-existent cutaneous dermatophyte infection. Discoloration was the most common symptom (98%). Ninety-four (94%) patients had distal lateral subungual onychomycosis (DSLO) while two had superficial onychomycosis (SO) and only one had proximal superficial onychomycosis (PSO). Trichophyton interdigitale was the most common etiological agent (61%) followed by Trichophyton rubrum and Trichophyton verrucosum. Conclusions: Toenail OM is more common in males. DSLO was the most common clinical variant and T. interdigitale the most common etiological fungus responsible for toenail OM in our region. The importance of early diagnosis and treatment is highlighted as long-standing toenail OM predisposes to fingernail onychomycosis and recurrent tinea pedis.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=2;spage=153;epage=158;aulast=YadavDelhidermatophyteepidemiologyIndiaonychomycosistoenail |
| spellingShingle | Pravesh Yadav Archana Singal Deepika Pandhi Shukla Das Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, India Indian Journal of Dermatology Delhi dermatophyte epidemiology India onychomycosis toenail |
| title | Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, India |
| title_full | Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, India |
| title_fullStr | Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, India |
| title_full_unstemmed | Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, India |
| title_short | Clinico-mycological study of dermatophyte toenail onychomycosis in New Delhi, India |
| title_sort | clinico mycological study of dermatophyte toenail onychomycosis in new delhi india |
| topic | Delhi dermatophyte epidemiology India onychomycosis toenail |
| url | http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=2;spage=153;epage=158;aulast=Yadav |
| work_keys_str_mv | AT praveshyadav clinicomycologicalstudyofdermatophytetoenailonychomycosisinnewdelhiindia AT archanasingal clinicomycologicalstudyofdermatophytetoenailonychomycosisinnewdelhiindia AT deepikapandhi clinicomycologicalstudyofdermatophytetoenailonychomycosisinnewdelhiindia AT shukladas clinicomycologicalstudyofdermatophytetoenailonychomycosisinnewdelhiindia |