Mykosen bei Patienten mit Psoriasis oder atopischer Dermatitis*

Henseler, Tilo; Tausch, I

doi:10.1111/j.1439-0507.1997.tb00537.x

Cited by 15 publications

(13 citation statements)

References 21 publications

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“…As we did not find an increased occurrence of tinea unguium the results of our prospective study are more in accordance with the retrospective study from Germany 13 . In this study the occurrence of tinea pedis and tinea unguium in psoriatic patients did not differ from that in a control group of patients with dermatological diseases other than psoriasis or atopic dermatitis.…”

Section: Discussionsupporting

confidence: 90%

Pedal dermatophyte infection in psoriasis

2004

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SummaryBackground Dermatophyte infections have been considered rare in psoriasis. However, there are data indicating that tinea unguium is as common or even more common in psoriasis compared with healthy controls. Tinea unguium is generally a secondary event to tinea pedis infection. Objectives To study the prevalence of tinea pedis and tinea unguium in psoriasis compared with a control group. Methods Consecutive psoriasis outpatients aged 18-64 years attending a department of dermatology were examined. Samples for direct microscopy and culture were taken from the interdigital spaces, soles and toenails. Consecutive patients without signs of psoriasis or atopic dermatitis seeking examination of moles constituted the control group. Results In total, 239 patients with psoriasis and 245 control patients were studied. The prevalence of tinea pedis was 8AE8% [95% confidence interval (CI) ± 3AE6%] in the psoriasis group and 7AE8% (95% CI ± 3AE4%) in the control group. The corresponding figures for prevalence of tinea unguium were 4AE6% (95% CI ± 2AE7%) and 2AE4% (95% CI ± 1AE9%), respectively. The differences found in the psoriasis vs. the control groups were not statistically significant. Conclusions This study does not support the hypothesis that the prevalence of tinea pedis and tinea unguium in patients with psoriasis differs from that in a normal population.

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Section: Discussionsupporting

confidence: 90%

Pedal dermatophyte infection in psoriasis

2004

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“…Henseler and Tausch (28) reviewed the medical records of 44695 dermatological patients and concluded that psoriatic patients had 1.3-1.6 relative risk of developing mucocutaneous candidosis compared to healthy persons. Skinner et al (29) reported 14 psoriatic patients in whom the disease was associated with oro-pharyngeal Candida.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of oral mucosal lesions in psoriatic patients: A controlled study

Darwazeh¹,

Al-Aboosi²,

Bedair³

2012

J Clin Exp Dent

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Objectives: This study aimed to investigate and compare the prevalence of oral mucosal lesions in a group of psoriatic patients and healthy subjects, and its correlation to multiple clinical parameters. Study design: 100 psoriatic patients and 100 closely matched controls underwent clinical oral examination. Oral lesions were diagnosed according to the criteria proposed by the World Health Organization (WHO). The patients filled the Hospital Anxiety and Depression (HAD) questionnaire and the Dermatology Life Quality Index (DLQI). The severity of psoriasis was assessed by the Psoriasis Area and Severity Index (PASI). Categorical variables were evaluated using Chi-square test or Fisher’s exact test with overall significance set at p< 0.05. Results: Oral mucosal lesions were diagnosed in 43 (43%) psoriatic patients and 17 (17%) control subjects (p=0.000). Comparing psoriatic patients to control subjects the prevalence of fissured tongue (FT) was 35% vs. 13% (p=0.000); geographic tongue (GT) 17% vs. 9% (p=0.09); combination of FT and GT 5% vs. 5% (p=1.00); oral candidosis 3% vs. 0% (p=0.81); leukoedema 1% vs. 3% (p=0.62); physiologic melanin pigmentations 4% vs. 1% (p=0.37) respectively. The clinical type of psoriasis, duration of the disease, method of disease management (medicated vs. non-medicated for psoriasis), smoking habit, psychological status or the disease severity did not influence the prevalence of FT and GT. Psoriatic patients who experienced “very large” to “extremely large” adverse effect of psoriasis on their quality of life have significantly higher prevalence of GT (p=0.04). Conclusions: FT is significantly more common in psoriatic patients compared to controls; hence studies investigating the nature of this relationship are warranted. Oral health care providers should be aware of the predisposition of psoriatic patients to oral candidosis. Key words:Oral lesions, fissured tongue, geographic tongue, leukoedema, oral Candida, candidosis, psoriasis.

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“…Regarding the prevalence of Candida in atopic dermatitis, data are limited and controversial. Henseler et al [10] found that in atopic dermatitis the prevalence of oro-intestinal candidiasis was increased whereas Candida of the skin was decreased.…”

Section: Introductionmentioning

confidence: 99%

Prevalence ofCandidaon the tongue and intertriginous areas of psoriatic and atopic dermatitis patients

Leibovici¹,

Alkalay²,

Hershko

et al. 2007

Mycoses

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SummaryData in the literature regarding the prevalence of Candida in psoriatic and atopic dermatitis patients are controversial. We conducted a prospective study to determine the prevalence of Candida on the tongue, axillae and groin of psoriatic patients when compared with atopic dermatitis patients and normal controls. During the period 2003-2005, data were collected from 100 psoriatic patients, 100 patients with atopic dermatitis and 100 normal controls. Fungal test specimens for Candida were collected from the axillae, groin and tongue of each patient. There was no increase in the prevalence of Candida in intertriginous area of either psoriatic or atopic dermatitis patients. However, the prevalence of Candida on the tongue was significantly higher in psoriatic patients (32%) compared with atopic dermatitis (18%) (P = 0.024) and higher, although not significantly, than in normal controls (21%) (P = 0.08). Our study did not reveal higher prevalence of Candida in the axillae and groin of either psoriatic or atopic dermatitis patients. There was a higher prevalence of Candida on the tongue of psoriatic patients. The Candida of the tongue was asymptomatic and did not correlate with age, gender, type of psoriasis or severity of the disease, therefore we conclude that this is clinically irrelevant.

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Mykosen bei Patienten mit Psoriasis oder atopischer Dermatitis*

Cited by 15 publications

References 21 publications

Pedal dermatophyte infection in psoriasis

Pedal dermatophyte infection in psoriasis

Prevalence of oral mucosal lesions in psoriatic patients: A controlled study

Prevalence ofCandidaon the tongue and intertriginous areas of psoriatic and atopic dermatitis patients

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