medigraphic.com
Órgano oficial de la Sociedad Mexicana de Cirugía Dermatológica y Oncológica, AC

2018, Number 2

<< Back Next >>

Dermatología Cosmética, Médica y Quirúrgica 2018; 16 (2)

Fungal Onycholysis. A Report of 30 Cases Studied in 23 Years in the Hospital General Dr. Manuel Gea González in Mexico City since 1994-2017

Sánchez CCD, Guevara F, Vega SDC, Arenas GR

Language: Spanish
References: 14
Page: 123-127
PDF size: 187.89 Kb.


ABSTRACT

Background: onycholysis is the separation of the nail plate from the underlying nail bed caused by disruption of the onychocorneal band.
Objetives: determine clinical and apidemiological data of onycholysis caused by fungi and the etiological agents. Methodology: observational, descriptive, retrospective and cross-sectional study in patients with diagnosis of onycholysis studied in the Mycology Section at Dr. Manuel Gea González General Hospital, from September 1994 to June 2017.
Results: 65 patients with clinical diagnosis of onycholysis were included. The diagnosis of fungal agents was confirmed by direct examination with koh-black chlorazol and Sabouraud agar in 30 patients (46%). Women were affected in 83% and toenails were involved in 57%. Candida spp. was the most common agent.
Conclusions: mycotic onycholysis is caused by secondary colonizer fungi, and the most common etiological causative agent is Candida spp.


REFERENCES

  1. Lorizzo M, Tips to treat the 5 most common nail disorder: brittle nails, onycholysis, paronychia, psoriasis, onychomycosis, Dermatologic Clinics 2015; 33(2):175-83.

  2. Hay RJ, Baran R, Moore MK y Wilkinson JD, Candida onychomycosis an evaluation of the role fo Candida species in nail disease, Br J Dermatol 1988; 118:47-58.

  3. Al-Kathiri L y Al-Asmaili A, Diclofenac-induced photo-onycholysis, Oman Medl J 2016; 31(1):65-8.

  4. Torras H y Mascaró M, Photo-onycholysis caused by clorazepate dipotassium, J Am Acad Dermatol 1989; 21(6):1304-5.

  5. Park JM, Mun JH, Jwa SW, Song M, Kim HS, Ko HC et al., Efficacy and safety of calcipotriol/betamethasone diproprionate ointment for the treatment of simple onycholysis:an open laberl study, J Am Acad Dermatol 2013; 69:492-3.

  6. Vélez N y Jellinek N, Simple onycholysis: a diagnosis of exclusión, J Am Acad Dermatol 2014; 70(4):793-4.

  7. Chang P, Monterroso MA y Castro ML, Onicólisis. Reporte de 50 casos, Dermatología cmq 2010; 8(2):

  8. Baran R y Badillet G, Primary onycholysis of the big toe nail: review of 113 cases, Br J Dermatol 1982;106:529-34.

  9. Aman S, Harron TS, Hussain I, Jahangir M y Bokhari MA, Distal and lateral subungueal onychomycosis with primary onycholisis caused by Trichophyton violaceum, B J Dermatol 2001; 144:186-221.

  10. Zaias N, Escovar SX y Zaiac MN, Finger and toenail onycholysis, J Eur Acad Dermatol Venereol 2015; 29(5):848-53.

  11. Ortega-Springall MF, Arroyo-Escalante S y Arenas R, Onycholysis and chromonychia: a case caused by Trichosporon inkin, Skin Appendage Disord 2016; 1(3):144-6.

  12. Hay RJ y Baran R, Fungal and other infections of the nail apparatus, en Baran R y Dawber (eds.), Diseases of the nails and their management, Oxford, Blackwell Scientific Publications 1984: 121-55.

  13. Arenas J, Rubalcava J, Leyva J, Álvarez B et al., Onicomicosis y diabetes mellitus tipo 2, Dermatol Rev Mex 1999; 43(1):1-7.

  14. Aristimuño M, Arenas R, Rubalcava J, Leyva J, Abiega CD et al., Onicomicosis en pacientes diabéticos tipo 2 ambulatorios. Datos clínico- epidemiológicos y tratamiento con bifonazol-urea, Dermatol Rev Mex 2000; 44(2):60-8.91-6.




2020     |     www.medigraphic.com