Author/Authors :
razavyoon, taraneh tehran university of medical sciences - school of public health - department of medical parasitology and mycology, tehran, iran , hashemi, jamal tehran university of medical sciences - school of public health - department of medical parasitology and mycology, tehran, iran , mansouri, parvin tehran university of medical sciences - skin and stem cell research center, tehran, iran , rafat, zahra guilan university of medical sciences - school of medicine - department of medical parasitology and mycology, rasht, iran , saboor-yaraghi, ali akbar tehran university of medical sciences - school of public health - department of immunology, tehran, iran , kamali sarvestani, hasti tehran university of medical sciences - school of public health - department of medical parasitology and mycology, tehran, iran , ghasemi, zeinab tehran university of medical sciences - razi hospital - department of medical mycology, tehran, iran
Abstract :
background and objectives: onychomycosis is caused by dermatophyte species, nondermatophyte moulds (ndms), and accounts for roughly 50% of all nail diseases. as the prevalence of onychomycosis is increasing, new epidemiologic documents may help with treatment and prevention. the present investigation aims to determine the epidemiological profile of onychomycosis in 2 mycology laboratories. materials and methods: a cross-sectional study conducted during eight months (2019-2020) on 169 patients with positive nail mycology tests referred to two mycological laboratory centers affiliated with tehran university of medical science. the nail clippings were examined by direct smear and culture. also, molecular assays were performed if needed. results: 10% of nail lesions referred to razi hospital (rh), and 30% of nail lesions referred to tums mycology laboratory were positive. middle age (40-60) suffer more from onychomycosis. aspergillus flavus, trichophyton mentagrophytes, and candida albicans were the most common etiologic agents in each of the three main classes of fungi causing onychomycosis. females were more infected. ndms were the predominant etiologic agents, and toenails were the most common site of onychomycosis. conclusion: the pattern of etiologic agents and clinical signs of onychomycosis differs according to geographical region and age, so repeated epidemiological surveys of onychomycosis seem to be fundamental.
Keywords :
onychomycosis , epidemiology , dermatophyte , saprophyte , yeast
