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Dermatophyte onychomycosis in children.

C M Philpot, D Shuttleworth

    Clinical and Experimental Dermatology
    |May 1, 1989
    PubMed
    Summary

    Dermatophyte onychomycosis is rare in children, with a prevalence of 0.2% in schoolchildren. Parental infection is often the source, and this fungal nail infection shows low infectivity in pediatric cases.

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    Area of Science:

    • Mycology
    • Dermatology
    • Pediatrics

    Background:

    • Dermatophyte onychomycosis, a fungal nail infection, is uncommon in children.
    • Previous studies suggest low prevalence, but data is limited.
    • Understanding pediatric onychomycosis is crucial for diagnosis and management.

    Purpose of the Study:

    • To determine the prevalence of dermatophyte onychomycosis in schoolchildren and pediatric outpatients.
    • To identify the etiological agents responsible for pediatric onychomycosis.
    • To investigate the transmission patterns and infectivity of pediatric onychomycosis.

    Main Methods:

    • Prospective screening of 494 schoolchildren and 200 pediatric outpatients for clinical signs of onychomycosis.
    • Mycological investigations, including nail cultures, were performed for suspected cases.
    • Case review of pediatric onychomycosis patients attending a specific laboratory over a 3-year period.

    Main Results:

    • An overall prevalence of 0.2% for dermatophyte onychomycosis was found in schoolchildren.
    • Trichophyton rubrum was the predominant causative agent identified in pediatric cases.
    • In 4 out of 7 reported pediatric cases, at least one parent also had onychomycosis, predominantly T. rubrum.

    Conclusions:

    • Dermatophyte onychomycosis is a rare condition in children.
    • Trichophyton rubrum is the most common cause of pediatric onychomycosis.
    • Parental infection is a likely source, and the infection exhibits low infectivity in children.

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