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Onychomycosis in children

P Chang1, H Logemann

  • 1Department of Dermatology, Hospital Angeles, Guatemala.

International Journal of Dermatology
|August 1, 1994
PubMed
Summary
This summary is machine-generated.

Onychomycosis, a common adult nail infection, is increasingly seen in children. Early detection and treatment are crucial to prevent nail dystrophy and transmission.

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Area of Science:

  • Dermatology
  • Pediatric Mycology

Background:

  • Onychomycosis is the most prevalent nail disorder in adults.
  • Recent data indicate a rising incidence of onychomycosis in pediatric populations.

Purpose of the Study:

  • To report on the clinical characteristics and etiological agents of onychomycosis in children under 12 years of age.

Main Methods:

  • Clinical diagnosis of onychomycosis was established in pediatric patients.
  • Potassium hydroxide (KOH) preparations and fungal cultures were performed for each case.

Main Results:

  • Twenty-six children (16 boys, 10 girls; average age 8 years) were diagnosed with onychomycosis.
  • Distal subungual onychomycosis was the most common type (88.5%), with distal subungual hyperkeratosis as the earliest sign.

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  • Trichophyton rubrum was the predominant causative agent, identified in 69.2% of cases.
  • Conclusions:

    • Pediatric onychomycosis is not rare and warrants clinical attention.
    • Prompt identification of nail abnormalities during physical exams is essential to prevent nail dystrophy.
    • Eliminating sources of infection is important for managing pediatric onychomycosis.