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Onychomycosis: a 3-year clinicomycologic hospital-based study
Virendra N Sehgal1, Ashok K Aggarwal, Govind Srivastava
1Dermato-Venereology (Skin/VD) Centre, Sehgal Nursing Home, Panchwati, Azadpur, Delhi, India. drsehgal@ndf.vsnl.net.in
Onychomycosis, a nail fungal infection, is prevalent in Indian men aged 21-30. Trichophyton rubrum and mentagrophytes are the primary causes, highlighting the need for early diagnosis and treatment.
Area of Science:
- Dermatology
- Mycology
- Epidemiology
Background:
- Onychomycosis is a common nail fungal infection.
- Limited research exists on its prevalence in the Indian subcontinent.
- This study aimed to comprehensively investigate the condition's pattern in India.
Purpose of the Study:
- To determine the epidemiologic, clinical, and mycologic factors of onychomycosis.
- To analyze data from 50 patients using a prospective study design.
- To understand the disease's characteristics in the Indian population.
Main Methods:
- Prospective evaluation of 50 patients with confirmed onychomycosis (KOH-positive).
- Data collection included epidemiologic, clinical, and mycologic characteristics.
- Statistical analysis to correlate various patient and disease parameters.
Main Results:
- Common onychomycosis variants: distal lateral subungual, total dystrophic, and superficial white.
- Predominantly affected demographic: men aged 21-30 years (mean age 34.5).
- Key etiological agents: Trichophyton rubrum and Trichophyton mentagrophytes; yeasts and molds were less frequent.
Conclusions:
- Onychomycosis recognition is facilitated by clinical awareness.
- Prompt etiologic diagnosis is crucial for effective treatment.
- Eradication of onychomycosis is important to reduce societal impact.
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