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Onychomycosis by molds. Report of 78 cases

European Journal of Dermatology. Volume 17, Number 1, 70-2, January-February 2007, Clinical report

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Author(s) : Alexandro Bonifaz, Pamela Cruz-Aguilar, Rosa María Ponce

Summary : A retrospective study of onychomycohosis by molds was carried out during a 14-year period (1992-2005). All cases were clinically and mycologically proven (repetitive KOH and culture) and then each of the molds was identified. A total of 5,221 cases of onychomycosis were evaluated, 78 of which were molds (1.49%). Mean patient age was 44.1 years. 75/78 cases occurred in toenails. Associated factors were detected in 39/78 (50.0%) cases, with the major ones being: peripheral vascular disease, contact with soil, and trauma. The most frequent clinical presentation was distal and lateral subungual onychomycosis (DLSO), in 54/78 cases (69%). The most frequent causative agents were: Scopulariopsis brevicaulis in 34/78 cases and Aspergillus niger in 13/78 cases. Onychomycoses by molds are infrequent; in this study they accounted for 1.49% of cases. The clinical features are virtually similar to those caused by dermatophytes, which makes the clinicomycological tests necessary.

Keywords : Aspergillus niger, molds, Onychomycosis, Scopulariopsis brevicaulis, Subungual


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