Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus Onychomycosis
Objective: The study aims to investigate prevalence, clinical characteristics, and laboratory findings of traumatic toenails in comparison with those of onychomycosis. Methods: This cross-sectional study included hallux valgus (HV) patients attending Foot Clinic. Descriptive statistics, Chi-square...
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doaj-b78ab29c69ea4a5ba19854df1ad723282021-08-13T09:48:06ZengMahidol UniversitySiriraj Medical Journal2228-80822018-12-01706Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus OnychomycosisCharussri Leeyaphan0Sumanas Bunyarata1Navaporn Chadchavalpanichaya2Chuda Rujitharanawong3Sutasinee Phaitoonwattanakij4Lalita Matthapan5Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700,Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700,Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700,Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700,Department of Dermatology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Objective: The study aims to investigate prevalence, clinical characteristics, and laboratory findings of traumatic toenails in comparison with those of onychomycosis. Methods: This cross-sectional study included hallux valgus (HV) patients attending Foot Clinic. Descriptive statistics, Chi-square test, Student’s t-test and Mann-Whitney U test were used in statistical analysis. Results: A total of 81 patients with a mean age of 65 years old, of which 77 were females (95.1%), were enrolled. The prevalence of onychomycosis was 25.9%, whereas that of trauma-induced nail dystrophy was 55.6%. There were 18 (22.2%) patients with fungal feet infection. Among 21 patients with nail infections, three had subclinical presentation. Fifteen patients (71.4%) with onychomycosis were infected with dermatophytes (DMPs). The others were caused by nondermatophytes (NDMs), of which 14.2% were Neoscytalidium dimidiatum. Comparing with traumatic nail, statistical analysis revealed HV angle of greater than 30 degrees and the presence of fungal foot infection to be significantly associated with onychomycosis (p=.011 and p<.001, respectively). Conclusion: One-fourth of HV patients had onychomycosis. Severe foot deformities and concomitant fungal foot infection were significantly associated with onychomycosis. Holistic foot and nail examination is essential for distinguishing onychomycosis and traumatic induced nail dystrophy. Subclinical presentation was common. https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/163153Onychomycosis; trauma-induced nail dystrophy; fungal foot infection; dermatophytosis; hallux valgus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Charussri Leeyaphan Sumanas Bunyarata Navaporn Chadchavalpanichaya Chuda Rujitharanawong Sutasinee Phaitoonwattanakij Lalita Matthapan |
spellingShingle |
Charussri Leeyaphan Sumanas Bunyarata Navaporn Chadchavalpanichaya Chuda Rujitharanawong Sutasinee Phaitoonwattanakij Lalita Matthapan Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus Onychomycosis Siriraj Medical Journal Onychomycosis; trauma-induced nail dystrophy; fungal foot infection; dermatophytosis; hallux valgus |
author_facet |
Charussri Leeyaphan Sumanas Bunyarata Navaporn Chadchavalpanichaya Chuda Rujitharanawong Sutasinee Phaitoonwattanakij Lalita Matthapan |
author_sort |
Charussri Leeyaphan |
title |
Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus Onychomycosis |
title_short |
Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus Onychomycosis |
title_full |
Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus Onychomycosis |
title_fullStr |
Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus Onychomycosis |
title_full_unstemmed |
Clinical and Laboratory Findings in Trauma-Induced Nail Dystrophy versus Onychomycosis |
title_sort |
clinical and laboratory findings in trauma-induced nail dystrophy versus onychomycosis |
publisher |
Mahidol University |
series |
Siriraj Medical Journal |
issn |
2228-8082 |
publishDate |
2018-12-01 |
description |
Objective: The study aims to investigate prevalence, clinical characteristics, and laboratory findings of traumatic toenails in comparison with those of onychomycosis.
Methods: This cross-sectional study included hallux valgus (HV) patients attending Foot Clinic. Descriptive statistics, Chi-square test, Student’s t-test and Mann-Whitney U test were used in statistical analysis.
Results: A total of 81 patients with a mean age of 65 years old, of which 77 were females (95.1%), were enrolled. The prevalence of onychomycosis was 25.9%, whereas that of trauma-induced nail dystrophy was 55.6%. There were 18 (22.2%) patients with fungal feet infection. Among 21 patients with nail infections, three had subclinical presentation. Fifteen patients (71.4%) with onychomycosis were infected with dermatophytes (DMPs). The others were caused by nondermatophytes (NDMs), of which 14.2% were Neoscytalidium dimidiatum. Comparing with traumatic nail, statistical analysis revealed HV angle of greater than 30 degrees and the presence of fungal foot infection to be significantly associated with onychomycosis (p=.011 and p<.001, respectively).
Conclusion: One-fourth of HV patients had onychomycosis. Severe foot deformities and concomitant fungal foot infection were significantly associated with onychomycosis. Holistic foot and nail examination is essential for distinguishing onychomycosis and traumatic induced nail dystrophy. Subclinical presentation was common.
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topic |
Onychomycosis; trauma-induced nail dystrophy; fungal foot infection; dermatophytosis; hallux valgus |
url |
https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/163153 |
work_keys_str_mv |
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