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Dermatophytosis
Published in Mahmoud A. Ghannoum, John R. Perfect, Antifungal Therapy, 2019
Mahmoud A. Ghannoum, Iman Salem, Nancy Isham
Candidal onychomycosis is usually found in patients with chronic mucocutaneous candidiasis. The typical pathogen is Candida albicans, though C. tropicalis, C. krusei, C. guilliermondii, and C. parapsilosis may also be found (C. parapsilosis is thought to be part of the normal skin flora) [3]. Candida may cause a direct infection of the nail bed or plate, or it may indirectly involve the nail through infection of the nail folds, nail bed, or hyponychium after trauma or exposure to excessive moisture or irritants. Furthermore, other body sites may be involved including the face and arms. Candidal organisms causing onychomycosis have shown some resistance to oral antifungal agents [35].
Hair and Nail Manifestations of HIV Infection
Published in Clay J. Cockerell, Antoanella Calame, Cutaneous Manifestations of HIV Disease, 2012
Gabriela M. Blanco, Frankie G. Rholdon, Clay J. Cockerell
Candidal onychomycosis commonly involves all of the fingernails. It is associated with yellow-brown discoloration, onycholysis, and nail plate thickening without subungual debris accumulation. Lateral onycholysis is a major finding in candidal onychomycosis which is also present in psoriasis.67 In contrast to the other types of onychomycosis, paronychial inflammation is often present. In HIV-infected patients, the infection is often more severe and correlates with the CD4 count.
Evaluation of long pulsed Nd-YAG laser in the treatment of onychomycosis
Published in Journal of Cosmetic and Laser Therapy, 2019
Samia Ali Ibrahim, Waleed Albalat, Howyda Mohamed Ebrahim
In the present study, we highlight on mycological evaluation of long pulsed Nd:YAG laser in treatment of onychomycosis and the predominant pathogens of onychomycosis in our locality which is candida. Candidal onychomycosis was found to be more common in the middle age. In contrast, other studies have reported that onychomycosis prevalence increased with age (4). The high incidence of onychomycosis in younger age groups could be the result of occupation, subclinical trauma or perhaps because younger people are cosmetically more consciousness about discoloration and disfigurement of nails in adults than older ones. The actual incidence of onychomycosis may be higher in elderly in our country but the disease being mostly asymptomatic and they are not seeking medical care. The achieved results in our study revealed that the onychomycosis was more prevalent in females (93.75%) than male (6.25%). It would be likely that domestic activity involving wet work as laundry and house cleaning associated with constant trauma to the nails could probably explain the slightly higher prevalence of onychomycosis among women. These findings were met with those of other studies (1,3,6) who founded that the finger nails onychomycosis were common in females and the principle pathogens were candida.
Fractional carbon dioxide laser assisted delivery of topical tazarotene versus topical tioconazole in the treatment of onychomycosis
Published in Journal of Dermatological Treatment, 2019
Essam Bakr Abd El-Aal, Hamed Mohamed Abdo, Shady Mahmoud Ibrahim, Mostafa Taha Eldestawy
Onychomycosis subtypes according to the fungal invasion of the nail are distal and lateral subungual onychomycosis (DLSO), white superficial onychomycosis (WSO), black superficial onychomycosis (BSO), proximal subungual onychomycosis (PSO), total dystrophic onychomycosis (TDO), and candidal onychomycosis (4).