Role of tinea unguium and other factors in chronic and recurrent dermatophytosis: A case control study

Onychomycosis in India and Other Countries in the Indian Subcontinent

“…15 Inoculation of nail scrapings on slants of SDA with chloramphenicol and dermatophyte test medium and morphology of colonies after 7 days of incubation and smicrscopic 2was positive of hair penetration in vitro and urea hydrolysis .further confirming tis identification, The patient was successfully treated with oral dosage terbinafine 250 mg daily for 6 weeks. 15 In the sixth study of 80 patients with current and recurrent derrmatophytsis, six had tinea unguium as demonstrated by presence of hyaline branching septate hyphae or beaded spherical structures (arthrospores) in mounts pf nail scrapings/clippings in 20% KOH and Chicago Sky Blue stain mounts. 15 Sharing of linen, family history, and topical corticosteroid abuse were also freqand histopatholic uent among patients with chronic respiratory disease.…”

“…Six of the case had tinea. 15 Diagnosis was SDA involved in five of these cases, one of these case was associated with tinea pedis 15 , Patients had indoor work and thirty had outdoor work as their occupations. Cases of tinea ungums had finger nail involvement.…”

“…15 In the sixth study of 80 patients with current and recurrent derrmatophytsis, six had tinea unguium as demonstrated by presence of hyaline branching septate hyphae or beaded spherical structures (arthrospores) in mounts pf nail scrapings/clippings in 20% KOH and Chicago Sky Blue stain mounts. 15 Sharing of linen, family history, and topical corticosteroid abuse were also freqand histopatholic uent among patients with chronic respiratory disease. Six of the case had tinea.…”

Diagnosis of a recurred lesion in dermatophytosis patients after 2 weeks of antifungal therapy: A prospective observational study

“…[ 17 ] Also, risk factors like nail infection and disease in the family did not correlate with chronic fungal infection. [ 20 21 22 ] In the present study of dermatophytosis, a) clinical cure (5.36%) did not correlate with morphological cure (i.e., patients who lost initial fungal border after therapy) (78.01%) and b) all recurred 141 (94.63%) patients did not have the fungal infection (i.e., 47 (33.33%) patients had fungal infection (test positive for fungus) and 94 (66.66%) patients had dermatoses unrelated to fungal infection (test negative for fungus)). Hence, it further supports the hypothesis that recurrent lesions at the treated site of dermatophytosis may have resulted from more than one risk factors complicated tinea, altered course, and morphology of the fungal infection, and/or development of dermatoses unrelated to fungal infection at the treated site of tinea like topical steroid withdrawal syndrome and post-traumatic eczema.…”

“…[ 1 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ] Further, it is interesting to note that researchers did not find any correlation between risk factors like fungal infection of nail and disease in family members with the chronic dermatophytic infection. [ 20 21 22 ] Hence, it is important for physician to appropriately diagnose the recurrent lesions at the treated site of dermatophytosis prior to initiating therapy.…”