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Onychomycosis: A study of self-recognition by patients and quality of life

Sumanas Bunyaratavej, Penvadee Pattanaprichakul, Charussri Leeyaphan1

  • 1Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Indian Journal of Dermatology, Venereology and Leprology
|April 9, 2015
PubMed
Abstract

Insights

Many onychomycosis patients, particularly elderly males, fail to recognize fungal nail infections. Early recognition by physicians is crucial for preventing complications and improving patient well-being.

Area of Science:

  • Dermatology
  • Mycology
  • Public Health

Background:

  • Onychomycosis represents approximately 50% of all nail disorders.
  • This fungal nail infection is typically asymptomatic, contributing to delayed diagnosis.

Purpose of the Study:

  • To assess patient awareness of fungal nail disease (onychomycosis).
  • To identify associated fungal skin conditions and potential complications.
  • To evaluate the impact of onychomycosis on patients' quality of life using the Dermatology Life Quality Index (DLQI).

Main Methods:

  • A study enrolled 110 patients diagnosed with onychomycosis from a dedicated fungal nail clinic.
  • Patient self-recognition of nail disease was assessed.
  • The DLQI questionnaire was administered to measure the quality of life impact.

Main Results:

  • 64.5% of patients recognized their onychomycosis; 29.1% were diagnosed by dermatologists.
  • Younger age and female sex were significantly associated with higher patient recognition rates.
  • The average DLQI score was 3.6, indicating a moderate impact on quality of life.

Conclusions:

  • A significant portion of onychomycosis patients, especially elderly males, do not recognize the condition themselves.
  • Physician education on risk factors is vital for early onychomycosis detection.
  • Prompt diagnosis and treatment can prevent secondary infections and improve patient outcomes.

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