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Onycomycosis due to artificial nails
A Shemer1, H Trau, B Davidovici
1Department of Dermatology, Sheba Medical Center, Tel.Hashomer, Israel.
Summary
Artificial nails (ANs) are linked to common fungal infections like onychomycosis. Sampling the distal nail is more effective for diagnosing these AN-related fungal nail issues.
Area of Science:
- Dermatology
- Mycology
- Cosmetic Science
Background:
- Artificial nails (ANs) are popular cosmetic products.
- AN use is associated with adverse effects, including contact dermatitis and microbial infections.
- Identifying fungal pathogens in nail abnormalities linked to ANs is crucial.
Purpose of the Study:
- To identify fungal pathogens in nail abnormalities associated with artificial nail (AN) use.
- To evaluate the efficacy of different sampling sites for fungal detection in AN users.
Main Methods:
- 68 patients with nail changes post-AN removal were assessed.
- Mycological samples were collected from the distal nail and proximal nail fold.
- KOH examination and fungal culture were employed for pathogen identification.
Main Results:
- Fungal infection was detected in 98.5% of patients via culture from the distal nail.
- Candida spp. were the predominant fungal pathogens identified.
- Sampling the distal nail yielded significantly better diagnostic results than the proximal nail fold (P = 0.0001).
Conclusions:
- Onychomycosis is prevalent in nail abnormalities associated with ANs.
- AN use increases the risk of transmitting microbial infections.
- Healthcare and food industry workers should refrain from using ANs due to infection risks.
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