Nail digital dermoscopy in onychomycosis: a correlation with clinical type, gender, and culture examination
Yükleniyor...
Dosyalar
Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
ERCIYES UNIV SCH MEDICINE
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Onychomycosis (OM) is a common disease that covers both tinea unguium and those remaining cases caused by yeasts, mainly of the Candida and various non-dermatophyte molds. Diagnosis is usually confirmed with direct microscopy and fungal culture. Nail dermoscopy is a non-invasive tool to diagnose various nail disorders and also to avoid time-consuming investigations. The aim of the present study was to determine the dermoscoping findings in OM and to correlate this with clinical type, gender, and culture results. Materials and Methods: This was a cross-sectional study of 100 patients diagnosed with OM according to clinical findings and direct microscopic examination. Nail dermoscopy was performed using a FotoFinder Digital Dermoscope, and images were recorded. A part of the samples was cultured in all patients. Results: The most frequent clinical type was distal lateral subungual onychomycosis (80.0%). The culture was negative in 72.0% of the samples. In the positive group, 48% of Trichophyton rubrum was cultured. The most common dermoscopic findings were longitudinal stria, ruin appearance, and longitudinal leukonychia. In culture-negative samples, irregular termination was most commonly seen. Ruin appearance, brown discoloration, hematoma, and transverse leukonychia, such as brushing, were compatible with total dystrophic OM. Conclusion: Determinative dermoscopic findings for OM, clinical types, and fungus forms were identified. These signs can avoid unnecessary mycology in selected cases.
Açıklama
Anahtar Kelimeler
Onychomycosis, dermoscopy, toenails, culture
Kaynak
ERCIYES MEDICAL JOURNAL
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
41
Sayı
3
Künye
Islamoglu, Z. G. K., Demirbas, A., Unal, M., Fındık, D. (2019). Nail Digital Dermoscopy in Onychomycosis: A Correlation with Clinical Type, Gender, and Culture Examination. Erciyes Medical Journal, 41(3), 288-294.
