Toenail Onychomycosis in Diabetic Patients

Abstract

Objective: To investigate the situation of toe deformities in elderly diabetic patients and then analyze the impact factors related to the abnormal growth of toenails. Methods: 229 cases from a community health service center in Shanghai were recruited. All of these patients accepted the foot examination, including determining peripheral vascular disease, peripheral neuropathy and the situation of toenail trimming, onychomycosis and toenail deformities. Results: There were 118 cases of elderly diabetics existing toenail deformities which accounted for 51.52%. Age, gender, peripheral vascular disease, peripheral neuropathy, methods of trimming toenails and fungal infection were factors resulting in toenail deformities. Conclusion: The community health service center should strengthen the care of toenails in elderly diabetic patients and treat onychomycosis appropriately while providing professional service of trimming toenails for the elderly diabetic patients.

Tip 2 diyabetli hastalarda mukokutanöz fungal infeksiyonlar için risk faktörleri

“…Nöropati bulunması da yine uzun süreli kontrolsüz diyabeti işaret ettiğinden bu hastalarda kandidal infeksiyonların artışını açıklayabilir. Diyabetli hastalardaki mantar infeksiyonları ile ilgili araştırmaların çoğu onikomikoz üzerine yoğunlaşmıştır 7,9,12,17,18 . Diyabetik ayak gelişimi, selülit, osteomyelit, tromboflebit infeksiyonu gelişimi gibi ciddi komplikasyonlara yol açabileceğinden ayak bölgesi infeksiyonları diyabetli hastalarda çok önemlidir 9,10 .…”

Can we Prevent Onychomycosis?

“…Immunocompromised patients are also at a higher risk, which is not surprising since this is an infection. Thirty percent of diabetics and 20% of HIV-positive individuals have onychomycosis [14,15]. Other risk factors include psoriasis, nail trauma, genetics, and family history; however, tinea pedis is likely the most common precipitating factor for onychomycosis.…”

Clinical pattern of superficial mycosis in rural type 2 diabetes mellitus patients

“…These fungal infections, in turn, can result in the increase frequency of diabetic foot. 3,4 Diabetic foot infections frequently result in morbidity, hospitalization and amputations therefore, the determination of its aetiology, timely diagnosis and treatment can help to prevent the serious drawbacks in these patients. 5 The fungal infections of the skin and its appendages are more common in tropical countries like India due to environmental factors like heat and humidity.…”