Prospective clinico mycological study of superficial mycosis in coastal Andhra Pradesh

Abstract

Introduction: Indian continent has remarkable topographical variation between tropical and subtropical regions of the world. For this reasons, superficial mycoses is common in our country. There are other predisposing factors, like socioeconomic condition, overcrowded, poor hygiene, and contact with animal, and in the absence of proper medical care skin mycoses spread epidemically. In addition to its epidemic nature, the spectrum of dermatophytosis is also not static. Konaseema region is costal part of Andhra Pradesh, and no such study has been conducted in this region, so present study has been designed to study the clinical pattern of superficial mycoses among the patients who are attending outpatient department of Dermatology, venereology and leprosy and also to study the variations of species causing different morphological forms of superficial mycoses. Materials and Methods: Present study is a randomized cross sectional prospective study conducted in the dermatology, venereology and leprology department Konaseema institute of medical sciences Amalapuram from February 2016 to May 2018.The study population include 1200 patients diagnosed clinically having superficial mycoses randomly selected for this study based on exclusion and inclusion criteria. Result: Out of 1200 patients 786 (65.5%) were diagnosed as dermatophytosis 146 (12.1%) patients were diagnosed as pityriasis versicolor, 224 (18.666%) patients were diagnosed to be candidiasis and 44 (3.66%) patients were having tinea nigra. Out of 786 dermatophytes, 320 (49.10%) were clinically diagnosed as T. Cruris, 240 (30.53%) patients were clinically diagnosed as tinea. corporis, 104 patients (13.23%) were diagnosed as tinea Unguium, tinea mannum patients were 44 in number (5.59%), T capitis patients were 26, (3.3%). 20 patients that is 2.5% were diagnosed to be tinea. Barbae and 12 (1.5%) patients were diagnosed to be tinea. Faciei 2.5% patients were diagnosed to have tinea pedis. Discussion and Conclusion:We have found that it is common in 2 nd and 3 rd decade of life with male predominance. It is common in middle income group. Dermatophytosis is most common clinical types and in that tinea crusis is most common clinical presentation, followed by candidiasis tinea. Rubrum was the most common species isolated. Among candidiasis balanoposthitis was most common presentation.