Onychomycosis in a Very Young Child

Zac, Renata Indelicato; Café, Maria Ester Massara; Neves, Daniela Rezende; Oliveira, Patrícia Jannuzzi Vieira e; Barbosa, Valéria Gomes

doi:10.1111/j.1525-1470.2009.01034.x

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…In a study by Gupta et al4, the concurrent rate reached 47.0%. It is known that onychomycosis is more likely to occur in patients with Down syndrome or with human immunodeficiency virus (HIV) infection4-6,9,13-15. In this study, however, there was no patient with Down syndrome or HIV infection.…”

Section: Discussionmentioning

confidence: 63%

“…The low prevalence of pediatric onychomycosis is probably due to faster nail growth, smaller surface area available for exposure to onychomycotic pathogens, lack of cumulative trauma, and reduced environmental exposure to public places such such as locker rooms and public showers that harbor high densities of infective hyphae and spores4-7,13-15. Though in this study, exact prevalence of onychomycosis was not investigated to a control pediatric population, the relative percentage of pediatric-to-adult onychomychosis cases, 2.3%, was the same as the percentage figure reported by by Choi et al17.…”

Section: Discussionmentioning

confidence: 99%

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Onychomycosis in Children: An Experience of 59 Cases

Kim

Suh

2013

Ann Dermatol

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BackgroundAlthough tinea unguium in children has been studied in the past, no specific etiological agents of onychomycosis in children has been reported in Korea.ObjectiveThe purpose of this study was to investigate onychomycosis in Korean children.MethodsWe reviewed fifty nine patients with onychomycosis in children (0~18 years of age) who presented during the ten-year period between 1999 and 2009. Etiological agents were identified by cultures on Sabouraud's dextrose agar with and without cycloheximide. An isolated colony of yeasts was considered as pathogens if the same fungal element was identified at initial direct microscopy and in specimen-yielding cultures at a follow-up visit.ResultsOnychomycosis in children represented 2.3% of all onychomycosis. Of the 59 pediatric patients with onychomycosis, 66.1% had toenail onychomycosis with the rest (33.9%) having fingernail onychomycosis. The male-to-female ratio was 1.95:1. Fourteen (23.7%) children had concomitant tinea pedis infection, and tinea pedis or onychomycosis was also found in eight of the parents (13.6%). Distal and lateral subungual onychomycosis was the most common (62.7%) clinical type. In toenails, Trichophyton rubrum was the most common etiological agent (51.3%), followed by Candida albicans (10.2%), C. parapsilosis (5.1%), C. tropicalis (2.6%), and C. guilliermondii (2.6%). In fingernails, C. albicans was the most common isolated pathogen (50.0%), followed by T. rubrum (10.0%), C. parapsilosis (10.0%), and C. glabrata (5.0%).ConclusionBecause of the increase in pediatric onychomycosis, we suggest the need for a careful mycological examination of children who are diagnosed with onychomycosis.

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Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Onychomycosis in Children: An Experience of 59 Cases

Kim

Suh

2013

Ann Dermatol

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“…Young children, however, have thin, fast-growing nails, enabling easier drug penetration (11). This makes them particularly well suited for topical monotherapy, as cure can usually be achieved more easily and faster than in adults (9,(32)(33)(34)(35)(36)(37). In addition, topical monotherapy, when appropriate, alleviates concerns regarding drug toxicity and laboratory monitoring associated with systemic therapy.…”

Section: Accepted Manuscriptmentioning

confidence: 97%

“…ACCEPTED MANUSCRIPT Friedlander 12 in nail dystrophy after 20 days of ciclopirox treatment (33). A 10-week-old infant with T.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Antifungal therapy for onychomycosis in children

Feldstein

Totri

Friedlander

2015

Clinics in Dermatology

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“…However, this diagnosis cannot be excluded in children presenting with suggestive nail abnormalities, and mycology should be performed. After a review in 2009 [2], other articles have been published reporting onychomycosis in children, sometimes as single case reports [3][4][5], other times as case series [6][7][8][9][10][11].…”

Section: Reviewmentioning

confidence: 99%