Factors Influencing Coexistence of Toenail Onychomycosis With Tinea Pedis and Other Dermatomycoses: A Survey of 2761 Patients | Dermatology | JAMA Dermatology | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 18.206.177.17. Please contact the publisher to request reinstatement.
1.
Baran  RDawber  RR Diseases of the Nails and Their Management.  Oxford, England Blackwell Science1994;
2.
Sikora  MPachołek  TSoter  KSzepietowski  J Analysis of fungal skin and skin appendages infections in the region of Wrocław in the years 1995-1999.  Mikol Lek 2000;7145- 151Google Scholar
3.
Roberts  DT Prevalence of dermatophyte onychomycosis in the United Kingdom: results of an omnibus survey.  Br J Dermatol 1992;12623- 37PubMedGoogle ScholarCrossref
4.
Heikkilä  HStubbs  S The prevalence of onychomycosis in Finland.  Br J Dermatol 1995;133699- 701PubMedGoogle ScholarCrossref
5.
Gupta  AKJain  HCLynde  CWWatteel  GNSummerbell  RC Prevalence and epidemiology of unsuspected onychomycosis in patients visiting dermatologists' offices in Ontario, Canada: a multicenter survey of 2001 patients.  Int J Dermatol 1997;36783- 787PubMedGoogle ScholarCrossref
6.
Szepietowski  JC Onychomycosis: prevalence of clinical types and pathogens. Kushwaha  RSed. Fungi in Human and Animal Health. Jodhpur, India Scientific Publishers2004;39- 54Google Scholar
7.
Roseeuw  D Achilles foot screening project: preliminary results of patients screened by dermatologists.  J Eur Acad Dermatol Venereol 1999;12 ((suppl 1)) S6- S9PubMedGoogle ScholarCrossref
8.
Haneke  ERoseeuw  D The scope of onychomycosis: epidemiology and clinical features.  Int J Dermatol 1999;38 ((suppl 2)) 7- 12PubMedGoogle ScholarCrossref
9.
Ungpakorn  RLohaprathan  SReangchainam  S Prevalence of foot diseases in outpatients attending the Institute of Dermatology, Bangkok, Thailand.  Clin Exp Dermatol 2004;2987- 90PubMedGoogle ScholarCrossref
10.
Szepietowski  JC Selected clinical aspects of onychomycosis.  Mikol Lek 2004;11119- 127Google Scholar
11.
Ogasawara  YHiruma  MMuto  MOgawa  H Clinical and mycological study of occult tinea pedis and tinea unguium in dermatological patients from Tokyo.  Mycoses 2003;46114- 119PubMedGoogle ScholarCrossref
12.
Pau  MAste  NBiggio  P Unsuspected tinea pedis in a normal population.  Micol Dermatol 1991;575- 78Google Scholar
13.
Ingordo  VNaldi  LFracchiola  SColecchia  B Prevalence and risk factors for superficial fungal infections among Italian navy cadets.  Dermatology 2004;209190- 196PubMedGoogle ScholarCrossref
14.
Zaias  NRebell  G Chronic dermatophytosis caused by Trichophyton rubrum J Am Acad Dermatol 1996;35S17- S20PubMedGoogle ScholarCrossref
15.
Foster  KWGhannoum  MAElewski  B Epidemiologic surveillance of cutaneous fungal infection in the United States from 1999-2002.  J Am Acad Dermatol 2004;50748- 752PubMedGoogle ScholarCrossref
16.
Cheng  SChong  L A prospective epidemiological study on tinea pedis and onychomycosis in Hong Kong.  Chin Med J (Engl) 2002;115860- 865PubMedGoogle Scholar
17.
Pierard  G Onychomycosis and other superficial fungal infections of the foot in the elderly: a pan-European survey.  Dermatology 2001;202220- 224PubMedGoogle ScholarCrossref
18.
Hamnerius  NBerglund  JFaergemann  J Pedal dermatophyte infection in psoriasis.  Br J Dermatol 2004;1501125- 1128PubMedGoogle ScholarCrossref
19.
Szepietowski  JReich  AGarłowska  EKulig  MBaran  E Predisposing factors to onychomycosis in Polish population.  Mikol Lek 2005;12231- 234Google Scholar
Study
October 2006

Factors Influencing Coexistence of Toenail Onychomycosis With Tinea Pedis and Other Dermatomycoses: A Survey of 2761 Patients

Author Affiliations

Author Affiliations: Mycologic Section of the Polish Dermatological Society, Department of Dermatology, Venereology, and Allergology, University of Medicine, Wroclaw, Poland.

Arch Dermatol. 2006;142(10):1279-1284. doi:10.1001/archderm.142.10.1279
Abstract

Objective  To evaluate the prevalence and factors influencing the presence of concomitant dermatomycoses in patients with toenail onychomycosis.

Design  Prospective study based on a specially designed questionnaire completed by dermatologists.

Patients  A total of 2761 patients with toenail onychomycosis.

Main Outcome Measures  The diagnosis of fungal skin infections was confirmed by direct microscopic examination or by culture.

Results  In 1181 patients (42.8%) with toenail onychomycosis, concomitant fungal skin infections were noted. Tinea pedis was the most common and was found in 933 patients (33.8%). Other concomitant fungal skin infections were fingernail onychomycosis (7.4%), tinea cruris (4.2%), tinea corporis (2.1%), tinea manuum (1.6%), and tinea capitis (0.5%). The presence of concomitant fungal skin infections depended on number of involved toenails; duration of onychomycosis; sex, age, and education level; area of residence; and type of isolated fungus.

Conclusions  The coexistence of toenail onychomycosis with other types of fungal skin infections is a frequent phenomenon. It could be hypothesized that infected toenails may be a site from which the fungal infections could spread to other body areas. Effective therapy for onychomycosis might therefore be essential not only to treat the lesional toenails but also to prevent spreading the infection to other sites of the skin.

×