• Title/Summary/Keyword: Onychomycosis

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

  • Bang, Young-Jun;Kim, Ssang-Young
    • Korean Journal of Clinical Laboratory Science
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    • v.39 no.2
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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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    • v.10 no.3
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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.

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

  • Nam Jae-Man;Park Rae-Joon;Seo Hyun-Kyu
    • The Journal of Korean Physical Therapy
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    • v.12 no.1
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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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The Clinical and Epidemiological Studies of Epidermophyton floccosum Infections(1998~2007) (최근 10년간 Epidermophyton floccosum의 감염 상태(1998-2007))

  • Bang, Young-Jun;Kim, Ssang-Young
    • Korean Journal of Clinical Laboratory Science
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    • v.41 no.2
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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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    • v.42 no.2
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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.

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

  • Han, Duck-Hyun;Choi, Han-Gyu;Kee, Baik-Seok;Nam, Bum-Woo;Seo, Seong-Jun
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.226-232
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    • 1999
  • Background : Various type of psychological and stressful events in life have been reported to have much effect in the onset, progress and exacerbation of psychosomatic disorders such as hypertension, bronchial asthma, peptic ulcer, tension headache, alopecia areata, and atopic dermatitis. However, the nature of the association between stress and psychosomatic disorders remains unclear. Objective : The purpose of this study is to determine the relation of stress and the progress of dermatologic disorder. Method : We examined 30 patients with atopic dermatitis and 30 control subjects with tinea pedis and onychomycosis who visited to Dept. of Dermatology, Chung-Ang University Hospital. To evaluate the stress, we used 'Scale of Life Events' and 'Multidemensional Coping Scale'. Result : 1) The score of life events stress in atopic dermatitis group was significantly higher than that of control group. 2) In the result of coping strategies, the atopic dermatitis group was significantly higher than control group at the active forgetting, positive comparison, and emotional pacification, while in control group religious seeking and accomodation tended to be higher with no statistical significance. Conclusion : These findings suggest that psychosocial stress may play a role in life pattern of atopic dermatitis. But further studies are needed to clarity the exact relationship between stress and psychosomatic disorder.

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

  • Kim, Jong-Min;Kim, Hong-Sik
    • The Korean Journal of Mycology
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    • v.5 no.2
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    • pp.11-15
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    • 1977
  • The Present study was undertaken to evaluate the recent epidemiologic status in Seoul area by the cooperation of major 6 university hospitals. A total of 7221 patients with various forms of dermatophyte infections seen from July, 1972 to December, 1976 at the departments of dermatology of university hospitals of Seoul, Yonsei, Catholic, Korea, Ewha and Hanyang were analyzed statistically in regards to the age and sex prevalence, the frequency of various forms of dermatophytoses and the difference in yearly incidence by reviewing the patients' records. The results were as follows; 1. The percentage of the patients with dermatophytoses overall outpatients was 5.1%. 2. The distribution of various forms of dermatophytoses was tinea cruris in 38%, tinea pedis in 28%, tinea versicolor in 17%, tinea corporis in 10%, tinea manuum in 3%, onychomycosis in 2% and the tinea capitis in 1% in the order of frequency. 3. Male outnumbered female in about 2 : 1. In male the most frequent type was tinea cruris and in female, the tinea pedis. 4. Over 86% of the patients belonged to the age group below 39. Most patients with tinea capitis belonged to the age group below 19, wheras the overall peak incidene in various forms of dermatophytoses was in age group between 10 and 40. 5. There was no significant difference in yearly incidence throughout 5 years from 1972. to 1976 however, the tinea manuum seemed to be increasing every year.

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