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Impact of Onychomycosis on Quality of Life: A Cross-Sectional Study Using the Dermatology Life Quality Index
Dalel Kemicha1, Maha Lahouel1, Sana Mokni1
1Dermatology Department, University Hospital Farhat Hached, Sousse, Tunisia.
Introduction:
Onychomycosis is a common nail disorder that can impair patients' quality of life (QoL). This study aimed to assess the impact of onychomycosis on QoL.
Methods:
QoL was evaluated using the Dermatology Life Quality Index (DLQI). Diagnosis was confirmed by microscopy and culture. Clinical features were recorded.
Results:
Forty patients were included (mean age 52.6 years; 70% female). Trichophyton species were found in 62.5%, Candida in 32.5%, and both in 5%. The mean DLQI was 6.1, indicating moderate impact. Women had higher scores than men (6.68 vs. 4.75; p = 0.03). Total nail involvement and combined fingernail/toenail infection were linked to greater QoL impairment (p < 0.05). The "symptoms and feelings" domain was higher in women (p = 0.001).
Conclusion:
Onychomycosis moderately impairs QoL, especially in women and patients with extensive nail involvement.
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