PMID- 25814703
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150327
LR  - 20181113
IS  - 1998-3611 (Electronic)
IS  - 0019-5154 (Print)
IS  - 0019-5154 (Linking)
VI  - 60
IP  - 2
DP  - 2015 Mar-Apr
TI  - Clinico-mycological study of dermatophyte toenail onychomycosis in new delhi, 
      India.
PG  - 153-8
LID - 10.4103/0019-5154.152511 [doi]
AB  - INTRODUCTION: There is a constant need to define the epidemiological and 
      mycological characteristics of onychomycosis (OM) for optimal management 
      strategies. OBJECTIVES: To define the epidemiological and mycological 
      characteristics of patients with dermatophyte toenail OM in a tertiary care 
      hospital. MATERIALS AND METHODS: Hundred consecutive patients of KOH and 
      culture-positive dermatophyte toenail OM were subjected to detailed history, 
      clinical examination and investigations. RESULTS: Maximum number of patients 
      (40%) belonged to 31-45 years age group and there was a male preponderance (M:F = 
      6.7:1). The mean duration of disease was 54 months. Thirty-three patients had 
      fingernail involvement in addition to the toenail OM and 37% had co-existent 
      cutaneous dermatophyte infection. Discoloration was the most common symptom 
      (98%). Ninety-four (94%) patients had distal lateral subungual onychomycosis 
      (DSLO) while two had superficial onychomycosis (SO) and only one had proximal 
      superficial onychomycosis (PSO). Trichophyton interdigitale was the most common 
      etiological agent (61%) followed by Trichophyton rubrum and Trichophyton 
      verrucosum. CONCLUSIONS: Toenail OM is more common in males. DSLO was the most 
      common clinical variant and T. interdigitale the most common etiological fungus 
      responsible for toenail OM in our region. The importance of early diagnosis and 
      treatment is highlighted as long-standing toenail OM predisposes to fingernail 
      onychomycosis and recurrent tinea pedis.
FAU - Yadav, Pravesh
AU  - Yadav P
AD  - Department of Dermatology and STD, University College of Medical Sciences and 
      Guru Teg Bahadur Hospital, University of Delhi, Delhi, India.
FAU - Singal, Archana
AU  - Singal A
AD  - Department of Dermatology and STD, University College of Medical Sciences and 
      Guru Teg Bahadur Hospital, University of Delhi, Delhi, India.
FAU - Pandhi, Deepika
AU  - Pandhi D
AD  - Department of Dermatology and STD, University College of Medical Sciences and 
      Guru Teg Bahadur Hospital, University of Delhi, Delhi, India.
FAU - Das, Shukla
AU  - Das S
AD  - Department of Microbiology, University College of Medical Sciences and Guru Teg 
      Bahadur Hospital, University of Delhi, Delhi, India.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Dermatol
JT  - Indian journal of dermatology
JID - 0370750
PMC - PMC4372907
OTO - NOTNLM
OT  - Delhi
OT  - India
OT  - dermatophyte
OT  - epidemiology
OT  - onychomycosis
OT  - toenail
COIS- Conflict of Interest: Nil.
EDAT- 2015/03/31 06:00
MHDA- 2015/03/31 06:01
PMCR- 2015/03/01
CRDT- 2015/03/28 06:00
PHST- 2015/03/28 06:00 [entrez]
PHST- 2015/03/31 06:00 [pubmed]
PHST- 2015/03/31 06:01 [medline]
PHST- 2015/03/01 00:00 [pmc-release]
AID - IJD-60-153 [pii]
AID - 10.4103/0019-5154.152511 [doi]
PST - ppublish
SO  - Indian J Dermatol. 2015 Mar-Apr;60(2):153-8. doi: 10.4103/0019-5154.152511.