بررسي كچلي ناخن در شمال غرب ايران 83-1376

A Study of Tinea Unguium in North-West Area of Iran (1997-2004)

Introduction: Tinea unguium is a fungal infection of both fingernails and toenails and can affecting patientʹs nail health . In order to detect epidemiological aspect and also etiologic agent of this mycose during 1997-2004, a total of 514 patients (298 (58%) female and 216 (42%) male) with suspected nail disease were examined to determine the causative agents and prevalence of onychomycosis in Northwest area of Iran. Material and Methods: The diagnosis of Tinea unguium was established through visualization of fungal myceliumʹs and artroconidia in a direct microscopic examination of nail scrapings and by isolation of exact dermatophyte colony from culture of clinical samples in S (Saboursudʹs Dextrose Agar) and SCC (Mycosel Agar) medium. Results: Examination of sample from nail of these patients in 36 (7%) had positve and 478 (93%) negative results.From all of 36 case with positve exam, 15 (42%) cases were female and 21 (58%) case male. 15 [(42%) (8 male, 7 female)] Case from all of 36 positve cases, had Tinea unguium in fingernails and 21 [(58%) (13 male, 8 female)] in toenails. Trichophyton mentagrophyes var. interdigitale and var. mentagrophytes (9 cases), T. Verrucosum (5), Microsporum canis (4 cases), T. Violaceum (3 cases), T. schoenleinii (2 cases) and T. rubrum (2%) were isolated from culture of Samples in S (Saboursudʹs Dextose Agar) and SCC (Mycosel Agar) Medium. Conclusion: This survey has provided useful information on the prevalence, causative agents, risk factors and health implications of onychomycosis in Northwest area of Iran.