Onychomycosis: beyond cosmetic distress

Lateur, Nadine

doi:10.1111/j.1473-2165.2006.00246.x

Cited by 6 publications

(4 citation statements)

References 39 publications

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“…[30] Taken altogether, onychomycosis is far more than a cosmetic problem. [54] Patients with onychomycosis demonstrate impairment of HR-QOL in all dimensions, including physical, mental, and social functioning. Nail pressure and pain may lead to an inability to wear shoes, and the infection of fingernails may impair the ability to do jobs, accounting for absence from work.…”

Section: Questionnairementioning

confidence: 99%

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Health-Related Quality of Life in Patients with Nail Disorders

Reich

Szepietowski

2011

American Journal of Clinical Dermatology

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Fingernails and toenails are important organs of our body, serving as protection for the tips of fingers and toes. Fingernails also enhance fine touching and tactile sensitivity, as well as aid in the picking up of small objects. Healthy-looking nails are an important part of an individual's body image, and any nail abnormalities may be considered by patients as a significant cosmetic problem, markedly influencing their self-esteem. However, recent data have indicated that nail lesions are not only important because of cosmetic disfigurement, but may be a symptom of significant morbidity. Severe nail involvement was also shown to negatively impair social functioning and to interfere with work ability, thus markedly influencing a patient's well-being. Based on literature data and our own experience we conclude that nail diseases cause a marked decrease in health-related quality of life in a substantial percentage of patients. Nail changes are an important medical concern for patients and, therefore, nail diseases should raise attention and receive proper care from both physicians and other healthcare providers.

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Section: Questionnairementioning

confidence: 99%

“…Nail pressure and pain may lead to an inability to wear shoes, and the infection of fingernails may impair the ability to do jobs, accounting for absence from work. [54] Thus, onychomycosis should be considered as an important medical problem that needs careful attention and care.…”

Section: Questionnairementioning

confidence: 99%

Health-Related Quality of Life in Patients with Nail Disorders

Reich

Szepietowski

2011

American Journal of Clinical Dermatology

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“…Moreover, the psychological and social limitations caused by onychomycosis can potentially undermine work and social lives. Reviews on this matter reveal a psychological and psychosocial impact as high as 92% [6]. Some studies have found that onychomycosis has an impact on quality of life (QoL) comparable to that of nonmelanoma skin cancer and benign growths [7].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Onychomycosis on Quality of Life: A Systematic Review of the Available Literature

Gupta

Mays

2018

Skin Appendage Disord

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Purpose: Onychomycosis is a nail disorder that is increasing in prevalence worldwide. The psychological and social limitations caused by onychomycosis can potentially undermine the work and social lives of those experiencing these negative effects. This review aimed to evaluate the randomized controlled trials (RCTs) available in the current literature on the impact onychomycosis has on quality of life (QoL). Methods: A systematic review was performed using the databases PubMed, PsycINFO, Scopus, ClinicalTrials.gov, and Cochrane Library on July 18, 2017. Only RCTs with clinical effects described in English were included for review. Results: Ten RCTs reported QoL outcomes for patients suffering from onychomycosis. Treatment satisfaction was statistically significant from baseline to end of treatment in 100.0% (4/4) measures which reported on satisfaction with treatment; mental health was also significant in 100.0% (3/3), symptoms index rating in 100.0% (2/2), symptom frequency in 75.0% (3/4), overall problems in 75.0% (3/4), functional activities in 75.0% (6/8), appearance problems in 66.7% (2/3), symptom distress in 57.1% (4/7), and stigma in 40.0% (2/5). The OnyCOE-t^TM and the NailQoL were the most used common outcome measures to describe QoL. Conclusion: The study sanctions that onychomycosis physically and psychologically distresses patients’ lives. Further research should include validated outcome measures to more effectively treat onychomycosis.

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“… 7 Moreover, the psychological and social effects of onychomycosis significantly undermine labor and social lives and as high as 92% psychosocial impact has been reported. 8 …”

Section: Introductionmentioning

confidence: 99%

Non-Dermatophyte Mold Dominated Onychomycosis in Patients Attending a Rank Higher Specialized Dermatology Clinic in Addis Ababa, Ethiopia

Bitew¹,

Osman

Yassin

2022

CCID

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Background Onychomycosis is a common refractory fungal infection associated with significant morbidity. The objective of this study was to determine the prevalence of onychomycosis, and the diversity and species composition of fungal etiological agents. Materials and Methods A clinic-based, prospective, non-randomized cross-sectional study was carried out between October 2018 and June 2019 at Rank Higher Specialized Dermatology Clinic, Addis Ababa, Ethiopia. Nail scrapings were collected aseptically from 200 patients clinically identified with nail disorders of fungal origin by dermatologists. Fungal etiological agents were identified microscopically and by culture method following standard procedures. Results Among 200 nail scrapings, 161 (80.5%) samples were found out to be culture positive. Of these, 135 (83.9%) samples yielded single colonies while 26 (16.1%) mixed colonies gave a total of 190 isolates. Among the isolates, 25.8% were dermatophytes while 61.1% were non- dermatophytes molds, and 13.1% were yeasts. Females were more likely to present dystrophic nails than men. Patients in the middle age group were more affected. Trichophyton interdigitale, Aspergillus spp, and Candida albicans were the dominant species. Conclusion The prevalence rate of onychomycosis in the present study was high. The isolation rate of non-dermatophyte molds was higher than dermatophytes and yeasts. Trichophyton interdigitale, Aspergillus spp, and Candida albicans were the dominant etiological agents. Females and patients in the middle age group were more affected. An increase in the prevalence of non-dermatophyte molds in nail infections dictates further investigation demonstrating how this group of fungi causes onychomycosis.

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Onychomycosis: beyond cosmetic distress

Cited by 6 publications

References 39 publications

Health-Related Quality of Life in Patients with Nail Disorders

Health-Related Quality of Life in Patients with Nail Disorders

The Impact of Onychomycosis on Quality of Life: A Systematic Review of the Available Literature

Non-Dermatophyte Mold Dominated Onychomycosis in Patients Attending a Rank Higher Specialized Dermatology Clinic in Addis Ababa, Ethiopia

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