Clinico-epidemiological Profile of Onychomycosis Attending in a Tertiary Care Hospital

Authors

  • L Khondker Assistant professor, Dept of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • AM Choudhury Professor and Chairman, Dept of Dermatology and Venereology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • MOR Shah Classified Specialist in Dermatology and Venereology, Combined Military Hospital (CMH), Dhaka Cantt, Dhaka
  • M Shahidullah Professor and Head, Dept of Dermatology and Venereology, Shaheed Monsur Ali Medical College Hospital, Dhaka
  • MSI Khan Graded Specialist in Dermatology and Venereology, Combined Military Hospital (CMH), Dhaka Cantt, Dhaka
  • ARS Ahamed Junior Consultant in Dermatology and Venereology Directorate General of Health, Mohakhali, Dhaka

DOI:

https://doi.org/10.3329/jbcps.v30i2.11408

Keywords:

Onychomycosis, clinical profile, epidemiological profile

Abstract

A cross sectional study, conducted in the department of  Dermatology and Venereology, Bangabandhu Sheikh Mujib  Medical University (BSMMU) for duration of January 2009  to December 2010. Hundred twenty patients with  onychomycosis were selected by purposive type of nonprobability  sampling technique. Majority of the patients  61(150.8%) were in the age group of 21-30 years old. Mean  age of the patients were 32.8±14 years and most of the  patients were house wives 36(30.0%). Disfigurement  117(97.5%) and discomfort 89(74.2%) were more common  chief complaints of the patients. The mean duration of  disease was 20.4±15.4 months and nail fold changes were  associated with 37(30.8%) patients and more than a half  63(52.5%) of the patients had history of wet works.  Regarding the history of past illness, it was observed that  previous onychmycosis found 26(21.7%), nail trauma  26(21.7%) and immune suppression 6(5.0%). In  endocrinopathies, hypothyroidism was observed in 1(0.8%),  Diabetes Mellitus 6(5.0%) etc. Regarding the pattern of nail  changes, thickening of nail plate 88(73.3%), onycholysis  67(55.8%), subungunal hyperkeratosis 61(50.8%) were  more common changes. Paronychia was observed in 34  (28.3%) cases. In concomitant fungal infection, it was  observed that T. manuum in 6(5.0%), T. pedis 3(2.5%),  Interdigital intertrigo 2(1.7%) and T. cruris 1(0.8%). This  was a study on a limited number of cases. Future studies  must include economical support, then large sample size  could be ensured and study finding would be more reliable.  There is a great need of epidemiological studies also, with  sufficient follow-up, systematic reviews and meta-analyses  on this issue.

 

DOI: http://dx.doi.org/10.3329/jbcps.v30i2.11408

 

J Bangladesh Coll Phys Surg 2012; 30: 78-84

 

 

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Published

2012-07-23

How to Cite

Khondker, L., Choudhury, A., Shah, M., Shahidullah, M., Khan, M., & Ahamed, A. (2012). Clinico-epidemiological Profile of Onychomycosis Attending in a Tertiary Care Hospital. Journal of Bangladesh College of Physicians and Surgeons, 30(2), 78–84. https://doi.org/10.3329/jbcps.v30i2.11408

Issue

Vol. 30 No. 2 (2012)

Section

Original Articles

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