Nail Diseases in the Elderly

Perper, Marina; Tosti, Antonella

doi:10.1016/b978-0-323-54433-7.00006-4

Cited by 3 publications

(3 citation statements)

References 16 publications

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“…The respondents reported evaluating an average of 296 patients per month, and 26.4% of these patients presented with nail diseases, a higher percentage than the nail disease average seen by dermatologists (10%) [24] in general, reinforcing these study results. However, the composition of the panel (98% dermatologists and no primary care physicians) could be also a potential limitation, and selection bias cannot be excluded.…”

Section: Discussionsupporting

confidence: 72%

Onychomycosis: Recommendations for Diagnosis, Assessment of Treatment Efficacy, and Specialist Referral. The CONSONANCE Consensus Project

Piraccini

Starace

Rubin

et al. 2022

Dermatol Ther (Heidelb)

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Introduction: Onychomycosis is the most common nail disorder in adults, with high recurrence and relapse rates. Its diagnosis may be difficult by non-experts because the clinical signs may overlap with other dermatoses. The treatment may be challenging, as it should be patient-tailored.Methods: An online survey was conducted among European Nail Society (ENS) members to provide recommendations on the diagnosis and assessment of distal lateral subungual onychomycosis (DLSO) in non-specialized clinical environments, as well as recommendations for patient referral. Results: DLSO diagnosis is predominantly based on clinical aspects, and microscopy and fungal culture are commonly employed to establish the diagnosis. Assessment of clinical features is the main method for DLSO followup, and the main criterion to define cure is a combination of mycologic cure and clinical

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Section: Discussionsupporting

confidence: 72%

Onychomycosis: Recommendations for Diagnosis, Assessment of Treatment Efficacy, and Specialist Referral. The CONSONANCE Consensus Project

Piraccini

Starace

Rubin

et al. 2022

Dermatol Ther (Heidelb)

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“…Onychomycosis is a fungal infection of the nails caused by different genera and species of dermatophytes, non-dermatophyte moulds (NDMs) and yeasts. It is the most common nail disorder, accounting for up to 50% of all onychopathies 1 and 30% of all cutaneous fungal infections, 2,3 and affects approximately 5% of the global population. 4 Onychomycosis is characterised by the thickening of the nails with discoloration, fragility or malformation, and the patient may experience pain under the nail while wearing shoes due to hyperkeratosis and thickening of the nail.…”

Section: Introductionmentioning

confidence: 99%

Onychomycosis due to Fusarium species in different continents, literature review on diagnosis and treatment

Haghani,

Hedayati,

Shokohi

et al. 2023

Mycoses

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Fusarium species are an emerging cause of onychomycosis, and the number of cases has dramatically increased in recent decades worldwide. This review presents an overview of the onychomycosis cases caused by Fusarium species and diagnosis and treatment that have been reported in the literature. The most common causative agent of onychomycosis is F. solani species complex, which accounts for 11.68% of the cases of Fusarium onychomycosis, followed by the F. oxysporum species complex (164 out of 1669), which is accounted for 9.83% of the total. F. fujikuroi species complex (42 out of 1669) and F. dimerum species complex (7 out of 1669) are responsible for 2.52% and 0.42 cases, respectively. Fusarium nail infections were reported in patients aged range 1–98, accounting for 5.55% (1669 out of 30082) of all cases. Asia has the highest species diversity of Fusarium onychomycosis (31.51%). South America accounts for 21.09%, and the most common causative agent is F. solani (19.32%), followed by F. oxysporum species complex (15.63%). Europe accounts for 4.90% of cases caused by F. oxysporum, followed by F. solani. Africa accounts for 23.87% of the cases due to the F. solani species complex, followed by F. oxysporum and F. fujikuroi. Distal and lateral subungual onychomycosis was the most common clinical symptom accounting for 58.7% (135 out of 230) of the cases. Data analysis relieved that terbinafine and itraconazole are active treatments for Fusarium onychomycosis. For a definitive diagnosis, combining of direct examination, culture and sequencing of the elongation factor of translation 1α are recommended. Accurate identification of the causative agents of onychomycosis due to Fusarium species and antifungal susceptibility testing is essential in patient management.

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“…Diabetics, and others suffering from impaired arterial circulation and decreased sensation, may present with more severe cases (i.e. secondary infection, gangrene), [9]. Onychocryptosis of the feet is most often localized to the great toe (70%), which is likely related to increased trauma during ambulation [7].…”

Section: Introductionmentioning

confidence: 99%

Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment

Geizhals¹,

Lipner²

2019

Dermatology Online Journal

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Nail Diseases in the Elderly

Cited by 3 publications

References 16 publications

Onychomycosis: Recommendations for Diagnosis, Assessment of Treatment Efficacy, and Specialist Referral. The CONSONANCE Consensus Project

Onychomycosis: Recommendations for Diagnosis, Assessment of Treatment Efficacy, and Specialist Referral. The CONSONANCE Consensus Project

Onychomycosis due to Fusarium species in different continents, literature review on diagnosis and treatment

Review of onychocryptosis: epidemiology, pathogenesis, risk factors, diagnosis and treatment

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