Twelve cases of tinea unguium in a pediatric clinic in 9 years

Roig, Antonio Martínez; Rodríguez, Juan

doi:10.1007/s00431-006-0332-8

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…[7] estimated a prevalence in children from North America of 0.44% or 0.16% (excluding patients whose referring diagnosis was onychomycosis); they also summarised the previous reports around the world giving a global prevalence of 0.35%. Few data of onychomycosis in children have been published from our country 8,9 . In Barcelona, only 12 cases of tinea unguium were identified in patients under 16 years from 1996 to 2005 8 .…”

Section: Discussionmentioning

confidence: 98%

“…8,9 In Barcelona, only 12 cases of tinea unguium were identified in patients under 16 years from 1996 to 2005. 8 In our laboratory, we have been studying mycosis since 1951. In a review of dermatophytosis in our area from 1951 to 1987, 112 nail samples were examined.…”

Section: Discussionmentioning

confidence: 99%

“…Family members should also be investigated to exclude fungal infections among them, and to prevent reinfections. 7,8,11,14,15 Unfortunately, we did not find information about family members in the revised medical records.…”

Section: Discussionmentioning

confidence: 99%

“…Few data of onychomycosis in children have been published from our country 8,9 . In Barcelona, only 12 cases of tinea unguium were identified in patients under 16 years from 1996 to 2005 8 . In our laboratory, we have been studying mycosis since 1951.…”

Section: Discussionmentioning

confidence: 99%

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Onychomycosis observed in children over a 20‐year period

Rodríguez-Pazos

Pereiro-Ferreirós

Pereiro

et al. 2011

Mycoses

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There are few reports studying the aetiology of onychomycosis in children in Spain. To study childhood dermatophyte onychomycosis, a retrospective study of children was carried out, who were <16 years of age with dermatophyte onychomycosis diagnosed between 1987 and 2007. Of 4622 nail samples from 3550 patients, 218 came from 181 children up to 16 years old. Onychomycosis caused by dermatophytes was demonstrated in 28 (15.5%) cases. Trichophyton rubrum (18 cases) was the most prevalent species, followed by Trichophyton tonsurans (five cases), Trichophyton mentagrophytes var. interdigitale (four cases) and Trichophyton mentagrophytes var. mentagrophytes (one case). Concomitant dermatophytosis at other locations was confirmed in seven cases (25%). Toenail onychomycosis was associated with tinea pedis in five cases. Distal and lateral subungual onychomycosis was the most common clinical pattern. The superficial white type was found in two cases of toenail onychomycosis caused by T. rubrum and T. tonsurans. During the period of study, only 5.1% of all investigated people were children up to 16 years. The prevalence of onychomycosis tended to increase over the years and represented 15.5% of all nail dystrophies in children. Therefore, dermatologists must consider onychomycosis in the differential diagnosis of nail alterations in children and always perform a mycological study to confirm the diagnosis.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Onychomycosis observed in children over a 20‐year period

Rodríguez-Pazos

Pereiro-Ferreirós

Pereiro

et al. 2011

Mycoses

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Onychomycosis in children

Piraccini¹,

Patrizi²,

Sisti³

et al. 2009

Expert Review of Dermatology

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Onychomycosis in Children: An Experience of 59 Cases

Kim

Suh

2013

Ann Dermatol

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BackgroundAlthough tinea unguium in children has been studied in the past, no specific etiological agents of onychomycosis in children has been reported in Korea.ObjectiveThe purpose of this study was to investigate onychomycosis in Korean children.MethodsWe reviewed fifty nine patients with onychomycosis in children (0~18 years of age) who presented during the ten-year period between 1999 and 2009. Etiological agents were identified by cultures on Sabouraud's dextrose agar with and without cycloheximide. An isolated colony of yeasts was considered as pathogens if the same fungal element was identified at initial direct microscopy and in specimen-yielding cultures at a follow-up visit.ResultsOnychomycosis in children represented 2.3% of all onychomycosis. Of the 59 pediatric patients with onychomycosis, 66.1% had toenail onychomycosis with the rest (33.9%) having fingernail onychomycosis. The male-to-female ratio was 1.95:1. Fourteen (23.7%) children had concomitant tinea pedis infection, and tinea pedis or onychomycosis was also found in eight of the parents (13.6%). Distal and lateral subungual onychomycosis was the most common (62.7%) clinical type. In toenails, Trichophyton rubrum was the most common etiological agent (51.3%), followed by Candida albicans (10.2%), C. parapsilosis (5.1%), C. tropicalis (2.6%), and C. guilliermondii (2.6%). In fingernails, C. albicans was the most common isolated pathogen (50.0%), followed by T. rubrum (10.0%), C. parapsilosis (10.0%), and C. glabrata (5.0%).ConclusionBecause of the increase in pediatric onychomycosis, we suggest the need for a careful mycological examination of children who are diagnosed with onychomycosis.

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Twelve cases of tinea unguium in a pediatric clinic in 9 years

Abstract: Tinea of the nails is not an exclusively adult pathology. The pediatrician should include this entity in the differential diagnosis.

Cited by 3 publications

References 6 publications

Onychomycosis observed in children over a 20‐year period

Onychomycosis observed in children over a 20‐year period

Onychomycosis in children

Onychomycosis in Children: An Experience of 59 Cases

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