Background: Cutaneous fungal infections are most commonly presenting among fungal infections and are usually referred as Tinea. Dermatophytes spreads easily by skin to skin contact or by touching infected animal or object, frequently encountered disease in dermatology OPD's, Study on predisposing and epidemiological factors helps to eliminate the spread of infection and reinfection, So we selected this study to do. Methods: A total of 115 suspected dermatophytosis patients were selected, localized lesions were examined properly, also inspected for other skin lesions and examination of systems done. All patients were explained about dermatophytosis consequences, advised to undergo fungal culture. All the data were entered into spread excel sheet and evaluated the epidemiological, predisposing factors of dermatophytosis. Results: Tinea corporis is the most common clinical presentation was 41.7% followed by 30.1% of Tinea cruris, 24.3% of Tinea capitis, 20% of Tinea pedis, 13.9% of Tinea unguim, 12.1% of Tinea barbae and 11.3% of Id reactions. Out of 115 suspected dermatophytosis, fungal culture positivity shown in 38 (33%) patients. Out of 38 culture positive patients, 16 (42.1%) were T.rubrum, 9 (23.6%) were T.mentagrophytes, 5 (13.1%) were T.tonsurans, 8 (21%) were Microsporum species. Conclusion: Study on predisposing factors and epidemiological factors helps us to find out the diagnosis easily and also to eliminate the spread of dermatophytosis and reinfection. Prognosis is excellent with good compliance from patient side and subsequent precautions such as proper hygienic practices, maintaining moist skin to avoid repeat infection.
Background: Skin is the most commonly affected organ (90%) in patients with HIV/AIDS. The prevalence of cutaneous involvement approaches 100% and has been recognized as important initial clues to the diagnosis of HIV infection, the possible existence of an associated systemic disease and also in some cases the stage of involvement. The aim of this study is to know the prevalence of manifestations of skin, hair and nail among HIV patients and its correlation with CD4 count. Methods: A total of 100 HIV seropositive patients were selected to do this study. Patients presenting with changes in skin, hair and nails were analyzed among selected population. CD4 counts of all patients were also assessed. All the results were analyzed and tabulated. Results: Among noninfectious dermatoses, seborrhoeic dermatitis (10%) was predominantly observed in 10 patients followed by generalised xerosis (5%), ichthyosis (3%), psoriasis (1%). Among dermatoses, most commonly Pruritic papular dermatoses were observed about 12%, followed by eosinophilic folliculitis (3%), papular urticaria(1%). Many of the changes of skin, hair, nail and also oral manifestations were presented among HIV patients with CD4 count <200 cells/mm3. Conclusion: Frequency of varied manifestations increased with the fall of CD4 count. Correlating 'CD4 counts' to 'skin lesions' could serve as a guide to start and monitor antiretroviral therapy and to find the prognosis of the diseases.
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