• 제목/요약/키워드: Onychomycosis

검색결과 8건 처리시간 0.024초

소아의 손·발톱 및 족부백선증에 관한 역학적 조사 (Epidemiological Investigation of Onychomycosis and Tinea Pedis in Children)

  • 방용준;김쌍용
    • 대한임상검사과학회지
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    • 제39권2호
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    • pp.91-95
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    • 2007
  • The number of children patients with tinea pedis and onychomycosis diagnosed on clinical findings and culture at the Catholic Dermatological Clinic in Daegu City were 144,446 for 2 years from January 2005 to December 2006. 120 children were suspected of having clinical onychomycosis or tinea pedis. KOH smears and cultures on the Potato corn meal dextrose agars (PDCA) were done for the suspected toe webs, nails and uninvolved neighbor toe webs. Socks were dusted and cultured to check contamination of clothes. Family infections were checked by questionnaire. The incidence was 92 (0.06%) out of 144,446 outpatients in tinea pedis, 28 (0.02%) in onychomycosis. Trichophyton(T.) rubrums were isolated from all of the 7 cases of onychomycosis. T. mentagrophytes was isolated from 5 cases of the tinea pedis patients and T. rubrum was isolated from 50 (92.5%) cases of the tinea pedis. The right side was predominant for onychomycosis of both toe nails (23 of 25) and finger nails (3 of 3). No fungal elements were detected from normal looking neighbor toe webs by KOH examinations. However, culture on PDCA agars showed T. rubrum isolates from 3 toe webs. 7 showed positive cultures from the socks. From the questionnaire, 94 had family infections.

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Photodynamic Therapy Combined with 1064-nm Nd:YAG Laser Therapy and Topical Efinaconazole for Refractory Onychomycosis: Case Series

  • Park, Jae Wan;Koh, Young Gue;Seo, Seong Jun;Park, Kui Young
    • Medical Lasers
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    • 제10권3호
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    • pp.185-188
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    • 2021
  • Onychomycosis is the most common disease of the nail, with a worldwide prevalence of 5.5%. It causes local pain, paresthesia, and cosmetic problems and decreases the patients' quality of life. Conventional treatments include the administration of topical and systemic agents. However, factors such as subungual hyperkeratosis and biofilm formation may affect the efficacy of these treatments. Moreover, side effects associated with systemic agents are a major concern for patients. Therefore, various novel treatments are being developed; among them, photodynamic therapy (PDT) and Nd:YAG laser are promising, and several studies have demonstrated the efficacy and safety of PDT and laser therapy. Here, we report the efficacy and tolerability of PDT combined with 1064-nm Nd:YAG laser therapy and topical efinaconazole for the treatment of three patients with refractory onychomycosis.

BENZALKONIUM 이온 도입 치료를 이용한 조갑진균증의 치료에 관한 연구 (The Effects of the Benzalkonium Iontophoresis in Treatment of Onychomycosis(Hand))

  • 남재만;박래준;서현규
    • The Journal of Korean Physical Therapy
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    • 제12권1호
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    • pp.23-32
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    • 2000
  • The purpose of this study was determine the effects of the benzalkonium iontophoresis on onychomycosis (hand). The participants consisted of 10 patients. This study was observed the change of normal nail length and infected nail square throe time : pre-treatment, after 6 treatment and after 10-treatment The results of this study were as follows. 1. The length increase of normal nail revealed significant statistically after 10 times treatment(p<0.05). 2. The square diminish of infected nail revealed significant statistically after 10 times treatment(p<0.05). 3. Infected nail thickening and spilt seeped and nail colon recovered after 10 times treatment. 4. The nail with iontophoresis recovered more quickly than the with nail lacquer in the same patients.

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최근 10년간 Epidermophyton floccosum의 감염 상태(1998-2007) (The Clinical and Epidemiological Studies of Epidermophyton floccosum Infections(1998~2007))

  • 방용준;김쌍용
    • 대한임상검사과학회지
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    • 제41권2호
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    • pp.57-61
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    • 2009
  • Epidermophyton floccosum was known to be a frequently isolated dermatophyte agent of dermatophytosis in Korea, which regularly responsible for a small percentage of tinea cruris, tinea pedis, tinea corporis and onychomycosis. The purpose of this study was to investigate epidemiologic aspects of E. floccosum isolated in 71 patients from January 1998 to December 2007. The incidence of E. floccosum. was 0.07% out of a total of 107,026 dermatophytosis. The ratio of male to female patients was 6.9:1. Involved tinea were tinea cruris 44 (62.0%), tinea pedis 20 (28.2%), tinea corporis 2 (2.8%), tinea manus 2 (2.8%), tinea unguium 2 (2.8%), tinea faciale 1 (1.4%).

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Anatomical Characteristics and Surgical Treatments of Pincer Nail Deformity

  • Jung, Dong Ju;Kim, Jae Hee;Lee, Hee Young;Kim, Dong Chul;Lee, Se Il;Kim, Tae Yeon
    • Archives of Plastic Surgery
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    • 제42권2호
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    • pp.207-213
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    • 2015
  • Background Pincer nail deformity is a transverse overcurvature of the nail. This study aimed to define the anatomical characteristics of pincer nail deformity and to evaluate the surgical outcomes. Methods A retrospective review was conducted on 20 cases of pincer nail deformity of the great toe. Thirty subjects without pincer nail deformity or history of trauma of the feet were selected as the control group. Width and height indices were calculated, and interphalangeal angles and base widths of the distal phalanx were measured with radiography. We chose the surgical treatment methods considering perfusion-related factors such as age, diabetes mellitus, kidney disease, and peripheral vascular disease. The zigzag nail bed flap method (n=9) and the inverted T incision method (n=11) were used to repair deformities. The outcomes were evaluated 6 months after surgery. Results The interphalangeal angle was significantly greater in the preoperative patient group ($14.0^{\circ}{\pm}3.6^{\circ}$) than in the control group ($7.9^{\circ}{\pm}3.0^{\circ}$) (P<0.05). The postoperative width and height indices were very close to the measurements in the control group, and most patients were satisfied with the outcomes. Conclusions We believe that the width and height indices are useful for evaluating the deformity and outcomes of surgical treatments. We used two different surgical methods for the two patient groups with respect to the perfusion-related factors and found that the outcomes were all satisfactory. Consequently, we recommend taking into consideration the circulatory condition of the foot when deciding upon the surgical method for pincer nail deformity.

아토피 피부염 환자의 생활사건 스트레스와 대처방식 (Life Event Stress and Coping Strategy in Patient with Atopic Dermatitis)

  • 한덕현;최한규;기백석;남범우;서성준
    • 정신신체의학
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    • 제7권2호
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    • pp.226-232
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    • 1999
  • 연구목적 : 본 연구에서는 사회적, 심리적 관점에서 아토피 피부염에서 보이는 스트레스의 양을 측정 하고 스트레스에 대한 대처 방식의 특정을 알아보고자 하였다. 방법 : 1997년 9월부터 1998년 5월까지 중앙대학교 의과대학 부속병원 피부과에 내원한 20세 이상의 아토피 피부염 환자를 분석 대상으로 생활사건 척도(Scale of Life Event)와 다차원적척도(Multimensional Coping Scale)를 이용하여 스트레스 정도와 대처방식의 차이를 알아보고자 하였다. 결과 : 생활 사건에 대한 스트레스의 양은 아토피 피부염 환자군이 $386.52{\pm}257.93$이었고, 대조군은 $255.98{\pm}161.93$으로 통계적으로 유의한 차이를 보였고 대처 방식에 있어서는 아토피 피부염 환자군에서 적극적 망각 척도, 정서적 진정 척도, 긍정적 비교 척도에서 각각 $7.30{\pm}3.56$(t=2.55. df=53, p=0.013), $8.0{\pm}2.05$(t=2.42. df=58, p=0.019), $6.00{\pm}4.97$(t=2.48, df=58, p=0.16)으로 대조군에 비해 통계적으로 유의하게 높았다. 결론 : 스트레스는 아토피 피부염의 발생 및 악화에 영향을 미칠 것으로 추정되며, 적극적 망각과 같은 정서중심적, 비효과적 대처방식을 문제 중심적 대처로 변환시키고 자신보다 못한 상태에 있는 타인을 비교함 자신의 상태를 유지하려하는 인지적 측면과 스트레스 상황에서 발생한 정서적 혼란을 가라앉히려는 정서적 측면에 대해 지지적 치료가 이루어지면 아토피 피부염을 비롯한 정신 신체 질환의 치료에 도움이 될 것으로 생각된다.

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자선(自癬)의 역학적(疫學的) 연구(硏究) (An Epidemiologic Study on Dermatophytoses)

  • 김종민;김홍식
    • 한국균학회지
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    • 제5권2호
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    • pp.11-15
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    • 1977
  • 1. 1972년(年) 7월(月)부터 만 4년(年) 6개월간(個月間) 서울시내 6개(個) 대학병원(大學病院)에 내원(來院)한 환자(患者) 총 144,630명중(名中) 전풍(?風)을 포함(包含)한 백선증(白癬症) 환자(患者)는 7,221명(名), 5.1%이었다. 2. 연령별발병분포(年齡別發病分布)를 보면, 전(全) 백선증환자(白癬症患者)의 42.4%가 $20{\sim}29$세군(歲群)에 있어 가장 많았고, 9세(歲) 이하(以下) 및 50세(歲) 이후(以後)의 연세군(年歲群)에서 가장 낮은 빈도(頻度)를 보여주고 있다. 3. 병형별(病型別)로는 완선(頑癬)이 2,749명(名), 38.1%로 가장 많았고, 족부백선(足部白癬)이 2,053명(名), 28.4%로 다음이었으며, 두부백선(頭部白癬)은 98명(名), 1.3%로 가장 적었다. 4. 성별(性別) 분포(分布)는 전체적(全體的)으로 남(男) 여(女)의 비(比)가 2 : 1로 남자환자(男子患者)가 많았고, 병형별(病型別) 남(男) 여(女)의 비(比)는 완선(頑癬)이 17.4 : 1, 두부백선(頭部白癬)과 반풍(瘢風)이 각각(各各) 1.9 : 1로 남자환자(男子患者)가 많았으나 기타(其他)의 병형(病型)에서는 여자환자(女子患者)가 많았다. 5. 연도별(年度別)로는 수부백선(手部白癬)이 매년(每年) 증가(增加)하는 경향(傾向)을 보인 이외(以外)에는 연도별(年度別)로 특이(特異)한 변동(變動)은 인정(認定)할 수 없었다.

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