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Onychomycosis in Taiwan.

S H Wang1, C C Chi

  • 1Department of Dermatology, Chang Gung Memorial Hospital-Chiayi, 6 Section West, Chia-Pu Road, Putz City, Chia Yi 61363, Taiwan.

International Journal of Clinical Practice
|July 22, 2005
PubMed
Summary

Onychomycosis pathogens vary by region. In Taiwan, Candida and non-dermatophyte molds are common, unlike Western countries where dermatophytes prevail. This impacts effective antifungal therapy selection.

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Area of Science:

  • Mycology
  • Dermatology
  • Infectious Diseases

Background:

  • Onychomycosis, a fungal nail infection, requires accurate pathogen identification for effective treatment.
  • Pathogen distribution in onychomycosis varies geographically, influencing therapeutic strategies.

Purpose of the Study:

  • To identify the primary fungal pathogens causing onychomycosis in Taiwan.
  • To analyze the distribution of these pathogens based on patient demographics and clinical conditions.
  • To compare Taiwan's onychomycosis pathogen profile with international data.

Main Methods:

  • Retrospective analysis of 182 onychomycosis cases from January to December 2001.
  • Nail specimens underwent histopathologic examination and fungus culture for pathogen identification.
  • Statistical analysis to determine pathogen prevalence and associations with clinical factors.

Main Results:

  • Dermatophytes were identified in 55.5% of cases, Candida in 36.3%, and non-dermatophyte molds in 8.2%.
  • Candida prevalence increased in individuals over 60, females with fingernail or combined infections, and those with paronychia.
  • Taiwan's pathogen distribution, with higher Candida and mold prevalence, contrasts with temperate Western countries.

Conclusions:

  • Fungal pathogens causing onychomycosis differ significantly between Taiwan and Western countries.
  • Geographical location and patient-specific factors influence the causative agents of onychomycosis.
  • Clinicians must consider regional pathogen prevalence for selecting appropriate antifungal treatments.

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