Limits...
Onychomycosis in children: an experience of 59 cases.

Kim DM, Suh MK, Ha GY - Ann Dermatol (2013)

Bottom Line: 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 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%).

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Dongguk University College of Medicine, Gyeongju, Korea.

ABSTRACT

Background: Although tinea unguium in children has been studied in the past, no specific etiological agents of onychomycosis in children has been reported in Korea.

Objective: The purpose of this study was to investigate onychomycosis in Korean children.

Methods: We 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.

Results: Onychomycosis 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%).

Conclusion: Because of the increase in pediatric onychomycosis, we suggest the need for a careful mycological examination of children who are diagnosed with onychomycosis.

No MeSH data available.


Related in: MedlinePlus

Monthly distribution of patients with onychomycosis in children.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3756198&req=5

Figure 4: Monthly distribution of patients with onychomycosis in children.

Mentions: In terms of monthly incidence, 12 children developed onychomycosis in January; 8 children in May; 7 children in July; 6 children in March; 4 children each in April, June, August, and November; and 3 children each in July, October, and December; and, one child in September. Seasonally, 22 children had developed onychomycosis during the winter (December through February), 18 children during the spring (March through May), 11 children during the summer (June through August), and 8 children during the fall (September through November) (Fig. 4).


Onychomycosis in children: an experience of 59 cases.

Kim DM, Suh MK, Ha GY - Ann Dermatol (2013)

Monthly distribution of patients with onychomycosis in children.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3756198&req=5

Figure 4: Monthly distribution of patients with onychomycosis in children.
Mentions: In terms of monthly incidence, 12 children developed onychomycosis in January; 8 children in May; 7 children in July; 6 children in March; 4 children each in April, June, August, and November; and 3 children each in July, October, and December; and, one child in September. Seasonally, 22 children had developed onychomycosis during the winter (December through February), 18 children during the spring (March through May), 11 children during the summer (June through August), and 8 children during the fall (September through November) (Fig. 4).

Bottom Line: 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 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%).

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Dongguk University College of Medicine, Gyeongju, Korea.

ABSTRACT

Background: Although tinea unguium in children has been studied in the past, no specific etiological agents of onychomycosis in children has been reported in Korea.

Objective: The purpose of this study was to investigate onychomycosis in Korean children.

Methods: We 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.

Results: Onychomycosis 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%).

Conclusion: Because of the increase in pediatric onychomycosis, we suggest the need for a careful mycological examination of children who are diagnosed with onychomycosis.

No MeSH data available.


Related in: MedlinePlus