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Tinea unguium in Lahore, Pakistan.

S Aman1, T S Haroon, I Hussain

  • 1Department of Dermatology, King Edward Medical College/Mayo Hospital, Lahore, Pakistan. dderma@paknet4.ptc.pk

Medical Mycology
|May 11, 2001
PubMed
Summary

Mycological cultures confirmed 26% of suspected tinea unguium cases, with Trichophyton rubrum being the most common dermatophyte. Nail fungal infections require mycological confirmation for effective treatment.

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Area of Science:

  • Dermatology
  • Medical Mycology
  • Infectious Diseases

Background:

  • Tinea unguium, a fungal nail infection, is often clinically misdiagnosed.
  • Accurate diagnosis is crucial for effective treatment and preventing spread.

Purpose of the Study:

  • To determine the etiological agents of clinically suspected tinea unguium.
  • To assess the reliability of clinical diagnosis versus mycological confirmation.

Main Methods:

  • Prospective study of 202 clinically suspected tinea unguium cases over 1 year.
  • Mycological cultures were performed for dermatophyte confirmation.
  • Clinical presentation and affected nails were documented.

Main Results:

  • 53 out of 202 (26%) cases were confirmed mycologically.

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  • Trichophyton rubrum was the predominant isolate (87%).
  • Infections were more prevalent in adult males, affecting fingernails more than toenails.

    • Conclusions:

    • Clinical diagnosis of tinea unguium has low reliability.
    • Mycological confirmation is essential for accurate diagnosis and management of fungal nail infections.