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October 1971


Author Affiliations

Athens, Greece

Arch Dermatol. 1971;104(4):436-437. doi:10.1001/archderm.1971.04000220094023

To the Editor.—  Tinea pedis, whose frequence among the general population is said to be from 5% to 11%,1-3 has a widespread geographic distribution but its pathogenic flora, epidemiology, and clinical manifestations may vary from country to country. To our knowledge, this is the first systematic investigation of athlete's foot in Greece.The clinical material consisted of 200 subjects presenting clinical signs of tinea pedis, and 100 healthy controls. The laboratory methods used were direct potassium hydroxide examination of the scrapings and multiple cultures in Sabouraud's agar with and without antibiotic; for the identification of Candida species fermentation and utilization of sugars, assimilation of nitrates, sensitivity to cycloheximide, and reduction of tetrazolium were also used.The clinical diagnosis was confirmed by laboratory means in 49.5% of the cases.Of the infections, 31.0% were attributable to C albicans, 22.9% to Trichophyton mentagrophytes, 13.5% to T rubrum, 10.8% to Epidermophyton floccosum

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