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Onychomycosis in Lahore, Pakistan
M A Bokhari1, I Hussain, M Jahangir
1Department of Dermatology, King Edward Medical College/Mayo Hospital, Lahore, Pakistan.
International Journal of Dermatology
|September 16, 1999
Summary
Onychomycosis, a fungal nail infection, is most prevalent in women aged 20-40 in Pakistan. Distolateral subungual and candidal onychomycosis are the most common types, with Candida and Trichophyton rubrum as leading causes.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Onychomycosis is a prevalent fungal nail infection with varied clinical presentations.
- Causative agents include yeasts, dermatophytes, and nondermatophyte molds.
Purpose of the Study:
- To identify fungal pathogens responsible for onychomycosis.
- To characterize the clinical patterns of onychomycosis in Lahore, Pakistan.
Main Methods:
- Mycologic culture was used for diagnosis in 100 suspected cases.
- Clinical patterns were observed and correlated with identified pathogens.
Main Results:
- The study included 72 women and 28 men, with fingernail involvement in 50% of cases.
- Distolateral subungual onychomycosis (47%) and candidal onychomycosis (36%) were the most frequent clinical types.
- Candida (46%) and Trichophyton rubrum (31%) were the predominant pathogens identified.
Conclusions:
- Onychomycosis disproportionately affects women aged 20-40.
- Candida and Trichophyton rubrum are the primary fungal agents causing onychomycosis in Pakistan.
- Distolateral subungual onychomycosis and candidal onychomycosis represent the most common clinical manifestations.