Nondermatophytic moulds as a causative agent of onychomycosis in Tehran

Bassiri-Jahromi, Shahindokht; Khaksar, Ali Asghar

doi:10.4103/0019-5154.62743

Cited by 31 publications

(28 citation statements)

References 22 publications

(27 reference statements)

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“…In our patients with onychomycosis due to NDM, Aspergillus species were most frequently isolated (83.0%), which is consistent with the results reported by Bassiri-Jahromi and Khaksar,4 Hilmioğlu-Polat et al5, Gupta et al28 and Ramani et al29. The second most commonly isolated fungi were S. brevicaulis (10.2%), Acremonium species (3.4%), F. solani (1.7%), and C. globosum (1.7%).…”

Section: Discussionsupporting

confidence: 92%

Onychomycosis Due to Nondermatophytic Molds

Hwang

Suh

2012

Ann Dermatol

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BackgroundAlthough there have been many studies about onychomycosis due to nondermatophytic molds (NDM), few studies about etiologic agents including NDM in onychomycosis have been reported in Korea. Objective: This study investigated onychomycosis due to NDM in the Gyeongju area of Korea.ObjectiveThis study investigated onychomycosis due to NDM in the Gyeongju area of Korea.MethodsIn the 10-year period from 1999~2009, we reviewed 59 patients with onychomycosis due to NDM. The etiologic agents were identified by cultures on Sabouraud's Dextrose agar with and without cycloheximide. In some cases, internal transcribed spacer sequence analysis was done. NDM isolated considered pathogens when the presence of fungal elements was identified by direct microscopy observation and in follow-up cultures yielding the same fungi.ResultsOnychomycosis due to NDM comprised 2.3% of all onychomycosis. Of the 59 patients with onychomycosis due to NDM, 84.7% were toenail onychomycosis and 15.3% were fingernail onychomycosis. The incidence rate was highest in the fifth decade (27.1%). The ratio of male to female patients was 1:1.6. The frequency of associated diseases, in descending order, was hypertension, diabetes mellitus, and cerebral hematoma. Distal and lateral subungual onychomycosis (86.4%) was the most common clinical type of onychomycosis. Aspergillus spp. was the most frequently isolated etiologic agent of onychomycosis due to NDM (83.0%). Other causative agents were Scopulariopsis brevicaulis (10.2%), Acremonium spp. (3.4%), Fusarium solani (1.7%), and Chaetomium globosum (1.7%).ConclusionBecause of the increase in onychomycosis due to NDM, we suggest the need of a careful mycological examination in patients with onychomycosis.

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Section: Discussionsupporting

confidence: 92%

Onychomycosis Due to Nondermatophytic Molds

Hwang

Suh

2012

Ann Dermatol

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“…The susceptibility of the female gender in our region may be explained by the work habits of such patients such as cooks, laundresses, cleaners and prolonged moisture, detergents and cosmetic reasons. Regarding age, patients with age varying from 41 to 60 years old were more affected, representing 40.7% of the positive results in accordance with most of the studies [1,5]. The age group least affected was from 0 to 20 years (6.4%).…”

Section: Discussionsupporting

confidence: 91%

A study of onychomycosis in patients attending a dermatology center in Tehran, Iran

Soltani

Khosravi

Shokri

et al. 2015

Journal de Mycologie Médicale

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“…In Asia the frequencies are given as 12% in Singapore and 22% in India. [23][24][25] Differences in lab techniques may explain the variation in the figures, a discrepancy which contributes to the controversy. Those who studied the subungual debris alone may report the incidence of non dermatophytes to be around 5% where as others who studied subungual debris and clippings of nail plates put the figure at 15-20%.…”

Section: Discussionmentioning

confidence: 99%