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Year : 2002  |  Volume : 68  |  Issue : 6  |  Page : 326--329

Onychomycosis: A significant medical problem

Department of Dermatology & Department of Microbiology King George Hospital & Andhra Medical College, Visakhapatnam, India

Correspondence Address:
G Raghu Rama Rao
Gopal Sodan, 15-12, Nooroji Road, Maharanipeto, Visakhapatnam - 530 002, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

PMID: 17656990

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The importance of onychomycosis is often underestimated. Far more than being a simple cosmetic problem, infected nails serve as a chronic reservoir of infection which can give rise to repeated mycotic infections of the skin. 448 patients with nail abnormalities attending Skin O. P. D of King George Hospital, Visakhapatnam during a 1(one) year period between November'98 - October'99, were subjected to detailed clinical, epidemiological study. Diagnosis was confirmed in 204 cases by direct microscopy or culture or by both. Females (51. 96%) were slightly more than the males (48. 04%). Majority of the cases were between 21-40 years age group. Housewives (33. 33%) were most frequently affected. Trauma was a predisposing factor in 11. 27% of the cases. The duration of lesions varied from 3 months to 15 years. In the majority (38. 23%) it was less than one year. Candidal onychomycosis was the most prevalent clinical type (58. 82%) followed by distal subungual onychomycosis (38. 72%). Disease was limited only to finger nails in 57. 35% and toe nails in 32. 35%. Ptedominant isolates obtained were condida spp. (56. 7%), followed by dermatophytes (38. 2%) and non-dermatophyte molds (3. 37%). 26. 96% of the patients had experienced physical, psychosocial and occupational problems.

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Online since 15th March '04
Published by Wolters Kluwer - Medknow