2007, Number 4
Dermatol Rev Mex 2007; 51 (4)
Abad-González J, Bonifaz A, Ponce RM
PDF size: 175.54 Kb.
ABSTRACTBackground: Candidiasical variety is one of the three main onychomycosis and it is frequently related to diabetes.
Objective: To determine onychomycosis by Candida associated with diabetes mellitus and its epidemiologycal, clinical and mycological aspects.
Material and methods: Observational, retrospective study during 12 years of onychomycosis by Candida in patients with diabetes mellitus. Clinical classification and confirmation through direct microscopy and cultures of each case.
Results: Out of a total of 581 cases of onychomycosis, 185 cases (31.84%) were related to diabetes mellitus; most of them present in females, 124 (67%). Average age was 38.5 years, and main occupation in these patients was house work. Main location of onychomycosis by Candida was fingernails (152 patients, 82.16%), followed by paronychia (135 cases, 72.97%), and onycholysis (33 cases, 17.83%). In 96.7% of cases type 2 diabetes mellitus was present as well as other risk factors, such as trauma and circulatory problems, the rest of the cases have type 1 diabetes mellitus.
Mycological results of direct exam show yeasts in 168 cases (90.81%). Mayor causal agent was Candida albicans (128 cases, 69.18%), followed by Candida parapsilosis (22 cases, 11.89%).
Conclusions: Onychomycosis by Candida is frequently associated to diabetes mellitus, its main clinical form is paronychia and predominant etiologic agent is C. albicans.