Onychomycosis: clinical perspective

Sehgal, Virendra; Jain, Sanchit

doi:10.1046/j.1365-4362.2000.00812.x

Cited by 20 publications

(32 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9,10 The total rate of isolation in our study was 119(70.83%) which was in accordance with various studies in India and other places around the world, which included 60% in Karnataka 11 19 Variation in the prevalence also depends on age, predisposing factors, social class, occupation, living environment and frequency of travel. 20 One of the other reasons for variation in the prevalence may be due to the fact that many do not seek medical attention.…”

Section: Discussionsupporting

confidence: 88%

See 1 more Smart Citation

1. Prevalence of Onychomycosis in and around Karwar, Uttara Kannada

Venkatesh¹,

Kotian²

2016

JIMD

View full text Add to dashboard Cite

Abstract:Onychomycosis, one of the most common nail infections caused by dermatophytes, yeast and nondermatophytic moulds accounts for about half of all nail abnormalities and about a third of all fungal infections of the skin. The study aimed to determine the prevalence of onychomycosis and fungal aetiology in this area. A total of 168 samples suspected to be having nail infection were collected and processed. Fungal culture was positive in 119(70.83%) while direct microscopy showed a positivity of 86(51.19%). Distal Lateral Subungual Onychomycosis (DLSO) was the most common clinical condition observed in 102(60.71%) participants and least 14(8.33%) were seen in candidal onychomycosis (CO). Trichophyton rubrum 36(30.25%) was the most common isolate among the dermatophytes whereas among non-dermatophytic moulds, Aspergillus niger 4(3.36%) was the predominant isolate. Clinical evaluation, direct microscopy and culture are important for proper diagnosis. Key words: Onychomycosis, Trichophyton rubrum, Distal Lateral Subungual OnychomycosisIntroduction:

show abstract

Section: Discussionsupporting

confidence: 88%

“…To diagnose onychomycosis, clinical examination alone is not sufficient. 13,19 It was seen that both mycological and clinical examination are important for establishing diagnosis. It is beneficial to do both direct microscopic examination and culture in order to improve diagnosis.…”

mentioning

confidence: 99%

1. Prevalence of Onychomycosis in and around Karwar, Uttara Kannada

Venkatesh¹,

Kotian²

2016

JIMD

View full text Add to dashboard Cite

show abstract

“…Sehgal et al 28 had observed in their study that nail plate can be involved secondarily in candidiasis and theincidence to be more common in housewives and in professions such as fruit sorters, canners, bartenders and dishwasheres. Other conprised of 11.7% in predisposing factors which include, catheterization, stay in ICU, parenteral nutrition, prematurity, poor socioeconomic status, poor personal hygiene and oral contraceptive.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Antifungal Susceptibility of Candida Species Isolated From Patients Attending Tertiary Care Hospital

Sajjan¹,

Mahalakshmi²,

Hajare³

2014

IOSRJDMS

View full text Add to dashboard Cite

show abstract

“…Bizim çalışmamızda ise biraz daha düşük olarak %68.5 oranında pozitiflik saptanmıştır. Tekrarlayan KOH incelemeler ve kültür negatif sonuç verdiğinde fungal enfeksiyonun varlığını değerlendirmede tırnak ünitesinin histopatolojik incelemesi tavsiye edilmektedir (4,8,17,18). Yapılan bazı çalışmalarda ise tırnağın standart biyopsisinin incelenmesinin önemi halen vurgulanmakla birlikte, teknik olarak ağrılı olması ve kalıcı hasar bırakabilmesi ve uzun zamanda sonuç alınması nedeniyle pratikte uygun değildir (9,18).…”

Section: Discussionunclassified

Comparison of Diagnostic Methods for Onychomycosis: a Controlled, Prospective Study

Kurtoglu¹,

Yıldız²,

Şentürk³

et al. 2011

Turk J Dermatol

View full text Add to dashboard Cite

Amaç: Günümüzde onikomikoz tanısında en çok kullanılan laboratuvar metotları, standart KOH (potasyum hidroksit) inceleme (direkt mikroskopi) ve fungal kültürdür. Alternatif olarak kullanılan diğer yöntemler ise 24 saatlik KOH incelemesi ve tırnak plağının histopatolojik incelemesidir. Çalışmamızda bu yöntemlerin onikomikoz tanısındaki duyarlılığını karşılaştırmayı amaçladık. Gereç ve Yöntemler: Onikomikoz şüphesi olan 58 hastadan alınan dörder numunede 58 tırnak örneği, standart KOH inceleme, 24 saatlik KOH inceleme, kültür ve histopatolojik inceleme ile fungal elemanların varlığı açısından değerlendirildi. Bulgular: Toplam 46 hastaya onikomikoz tanısı kondu. Standart KOH inceleme ile 27 (%50), 24 saatlik KOH inceleme ile 37(%68.5), kültürle 14(%25.9) ve histopatolojik inceleme ile 40 (%74.1) hastada mantar enfeksiyonu tespit edildi. Bu yöntemle-rin duyarlılığı sırasıyla %58, %80.4, %30.4 ve %87 olarak bulundu. Sonuç: Yirmi dört saatlik KOH icelemenin duyarlılığı, standart KOH inceleme ve kültürden anlamlı derecede yüksek bulunurken, histopatolojik inceleme ile 24 saatlik KOH inceleme arasında duyarlılık açısından anlamlı bir fark saptanmamıştır. (Turk J Dermatol 2011; 5: 48-52 AbstractObjective: Standard KOH preparation and fungal culture are the most preferred methods used for the diagnosis of onychomycosis. Alternatively used methods are histopathological examination and KOH preparation for 24 hours. Our aim was to assess the sensitivity of standard KOH preparation, KOH preparation for 24 hours, fungal culture and histopathological examination for the diagnosis of onychomycosis. Material and Methods: Nail samples were taken from 58 patients with a clinical suspicion of onychomycosis. Standard KOH preparation, KOH preparation for 24 hours, fungal culture and histopathological examination were searched for presence of fungal elements. Results: Onychomycosis was diagnosed in 46 samples. Samples of 8 patients were negative by all methods. Fungal elements were observed by standard KOH preparation in 27 patients (50%), by KOH preparation for 24 hours in 37 patients (68.5%), by culture method in 14 patients (25.9%) and by histopathological examination in 40 (74.1%) patients. The sensitivity values of these methods were 58%, 80.4%, 30.4%, and 87% respectively. Conclusion: This study showed that histopathological examination and KOH preparation for 24 hours methods are more sensitive than the KOH preparation and fungal culture. (Turk J Dermatol 2011; 5: 48-52)

show abstract

Onychomycosis: clinical perspective

Cited by 20 publications

References 45 publications

1. Prevalence of Onychomycosis in and around Karwar, Uttara Kannada

1. Prevalence of Onychomycosis in and around Karwar, Uttara Kannada

Prevalence and Antifungal Susceptibility of Candida Species Isolated From Patients Attending Tertiary Care Hospital

Comparison of Diagnostic Methods for Onychomycosis: a Controlled, Prospective Study

Contact Info

Product

Resources

About