Onychomycosis in Lahore, Pakistan

Bokhari, Marissa; Hussain, Ijaz; Jahangir, Muhammad; Haroon, Tahir Saeed; Aman, Shahbaz; Khurshid, Khawar

doi:10.1046/j.1365-4362.1999.00768.x

Cited by 73 publications

(86 citation statements)

References 21 publications

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“…DLSO was evenly distributed between fingernails and toenails while PSO, TDO, SWO and MPO were observed more in fingernails. This finding is in accordance with reports by Bokhari et al, [15] and Velez et al, [24].…”

Section: Discussionsupporting

confidence: 94%

“…The majority of our patients (72.7%) were between the ages of 11yrs and 50yrs. This is in accordance with reports by Bokhari et al, [15] and Garg et al, [16] but contrasts with the findings of other reports [17,18]. There were only six children (<10 years), highlighting the fact that this disease may be less common in this age group, even in our community.…”

Section: Discussionsupporting

confidence: 88%

“…Nondermatophyte molds were considered to be clinically significant in this study because they were isolated repeatedly in pure growth in the absence of any dermatophyte [25]. Other studies have also reported yeasts and molds as the predominant pathogens involved in onychomycosis [15,20]. Among the dermatophytes, T. rubrum (11.7%) [Table/ Fig-3] was the most common organism found, as reported for other countries including Finland [17], Spain [18], UK [26,27] and USA [28].…”

Section: Discussionmentioning

confidence: 63%

“…Among the dermatophytes, T. rubrum (11.7%) [Table/ Fig-3] was the most common organism found, as reported for other countries including Finland [17], Spain [18], UK [26,27] and USA [28]. The high prevalence of T. rubrum has been explained by its better adaptation to the hard keratin of nails [15]. T. verrucosum (5.2%) as a causative agent of onychomycosis has rarely been reported previously.…”

Section: Discussionmentioning

confidence: 85%

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Onychomycosis in Qassim Region of Saudi Arabia: A Clinicoaetiologic Correlation

Shahzad

Alzolibani

Robaee

et al. 2014

JCDR

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Background: Onychomycosis is mainly caused by dermatophytes, but yeasts and nondermatophyte molds have also been implicated, giving rise to diverse clinical presentations. The aetiological agents of the disease may show geographic variation. Aim:The aim of the present study was to isolate the causative pathogens and to correlate the various clinical patterns of onychomycosis with causative pathogens. Materials and Methods:The study population comprised 170 patients with clinical suspicion of onychomycosis. Nail samples were collected for direct microscopic examination and culture. Clinical patterns were noted and correlated with causative pathogens.Results: Out of total 170 cases included in the study, 140 (82.4%) were positive by microscopy and 77 (45.3%) showed positive mycological findings by both microscopy and culture. The male: female ratio was 1:2.5 and the mean age was 35.29 ± 16.47 years. Fingernails were involved in 51.9%, toenails in 28.6% and both fingernails and toenails in 19.5% of the 77 patients. The clinical types noted were distal lateral subungual onychomycosis (71.4%), proximal subungual onychomycosis (10.4%), total dystrophic onychomycosis (10.4%), superficial white onychomycosis (3.9%) and mixed pattern onychomycosis (3.9%). Yeasts were the most common pathogens isolated, being found in 36 patients (46.8%) followed by nondermatophyte molds which were isolated from 28 patients (36.4%) followed by dermatophytes which were isolated from 13 patients (16.9%). Conclusion:Distal lateral subungual onychomycosis was the most common clinical presentation. Candida albicans, Aspergillus species and Tricophyton rubrum were the major pathogens. A single pathogen can give rise to more than one clinical type.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 85%

See 2 more Smart Citations

Onychomycosis in Qassim Region of Saudi Arabia: A Clinicoaetiologic Correlation

Shahzad

Alzolibani

Robaee

et al. 2014

JCDR

View full text Add to dashboard Cite

show abstract

“…Pradnya Veer et al, (2007) also reported higher (65%) prevalence of onychomycosis among males. In contrast Jorge Lopes et al, (1999) and Bokhari et al, (1999) reported higher prevalence among females.…”

Section: Resultsmentioning

confidence: 70%