Biography
Biography: Dimple Haree Doda
Abstract
Background: Onychomycosis is defined as the fungal infection of nails caused by dermatophytes, yeasts and nondermatophyte moulds. It is one of the commonest nail disorders and accounts for upto 30% of all superficial fungal infections. Aims and Objectives: 1.To study the clinical profile of onychomycosis. 2 To study the various causative organisms of onychomycosis. 3.To study the prevalence of Diabetes Mellitus in patients of onychomycosis Setting: Outpatient department of Dermatology, Venerology Leprology of a tertiary health care centre with an attached medical college. Material and methods A total of 70 patients of with clinically suspected onychomycosis, were included in the study. Nail specimens were subjected to direct microscopy in 20% KOH to determine the presence of fungal elements. The specimens were cultured in Sabouraud’s dextrose agar. Statistical analysis used: Microsoft Excel 2010. Results: There were 34 cases (48.57%) cases in age group of 39-58 years, which formed majority of the patients. Mean age group affected was (51.01 ± 30.40 years). Nail discoloration was seen in 67 (95.71%) patients. Non – Dermatophytes molds (NDM) were involved in 18 (56.25%) cases. A. niger was causative species in 12 cases (37.5%) and A. flavus was responsible for 03 cases (9.37%) and A. fumigatus for 3 cases (9.37%). In our study, prevalence of diabetics among onychomycosis was seen in 10 out of 90 cases (10%) and nondiabetics having onychomycosis was seen in 63 cases (90%).
Conclusions: Onychomycosis in the age group of 39-58 years and also there is a male preponderance. We also conclude that direct microscopy is a more sensitive test in detecting the presence or absence of fungus than culture. We also conclude that Non –dermatophyte molds are the most common organisms involved in causing onychomycosis. And amongst Non dermatophytes, A. niger is the most common species involved.