Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
  • 1

    Lundeen GW, Lundeen RO: Onychomycosis: its classification, pathophysiology and etiology. .JAPA 68::395. ,1978. .

  • 2

    Haneke E: Fungal infections of the nail. .Semin Dermatol 10::41. ,1991. .

  • 3

    Prevalence, morbidity and cost of dermatological diseases [editorial]. .J Invest Dermatol 73::395. ,1979. .

  • 4

    Abramson C, Wilton J: Nail dust aerosols from onychomycotic toenails: part II. Clinical and serological aspects. .JAMA 75::631. ,1985. .

  • 5

    Taplin D: Superficial mycoses. .J Invest Dermatol 67::177. ,1976. .

  • 6

    Freund PA: Onychomycosis: diagnosis and treatment. .JAPA 64::421. ,1974. .

  • 7

    Velez A, Linares MJ, Fernandez-Roldan JC, et al: Study of onychomycosis in Cordoba, Spain: prevailing fungi and pattern of infection. .Mycopathologia 137::1. ,1997. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Zaias N: “Onychomycosis,” in The Nail in Health and Disease, 2nd Ed, ed by N Zaias, p 87, Appleton & Lange, Norwalk, CT, 1990..

    • PubMed
    • Export Citation
  • 9

    Achten G, Wanet-Rouard J: Onychomycoses in the laboratory. .Mykosen Suppl 1::125. ,1978. .

  • 10

    Jimenez Aguirre D, Martinez LM, Pimentel AJ, et al: Estudio de las onicomicosis en el area del poniente almeriense. .Actas Dermosifiliogr 85::407. ,1994. .

  • 11

    Kam KM, Au WF, Wong PU, et al: Onychomycosis in Hong Kong. .Int J Dermatol 36::757. ,1997. .

  • 12

    Gupta AK, Jain HC, Lynde CW, et al: Prevalence and epidemiology of unsuspected onychomycosis in patients visiting dermatologists’ offices in Ontario, Canada: a multicenter survey of 2001 patients. .Int J Dermatol 36::783. ,1997. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    Elewski B, Greer DL: Hendersonula toruloidea and Scytalidium hyalinum: review and update. .Arch Dermatol 127::1041. ,1991. .

  • 14

    Williams HC: The epidemiology of onychomycosis in Britain. .Br J Dermatol 129::101. ,1993. .

  • 15

    Al-Sogair SM, Moawad MK, Al-Humaidan YM: Fungal infection as a cause of skin disease in the eastern province of Saudi Arabia: prevailing fungi and pattern of infection. .Mycosis 34::333. ,1991. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Gupta AK, Elewski BE: Nondermatophyte causes of onychomycosis and superficial mycosis. .Curr Top Med Mycol 79::87. ,1996. .

  • 17

    Gupta AK, Lynde CW, Jain HC, et al: A higher prevalence of onychomycosis in psoriatics compared with non-psoriatics: a multicentre study. .Br J Dermatol 136::786. ,1997. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18

    Rich P: Special patient populations: onychomycosis in the diabetic patient. .J Am Acad Dermatol 35::510. ,1996. .

  • 19

    Pierard GE, Arrese JE, DeDoncker P, et al: Present and potential diagnostic techniques in onychomycosis. .J Am Acad Dermatol 34::273. ,1996. .

  • 20

    Ghannoum MA, Hajjeh RA, Scher R, et al: A large-scale North American study of fungal isolates from nails: the frequency of onychomycosis, fungal distribution, and antifungal susceptibility patterns. .J Am Acad Dermatol 43::641. ,2000. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Srinivas CR, Ramani A, Girija Ratna Kumari T, et al: Molds in onychomycosis. .Int J Dermatol 32::877. ,1993. .

Article Type:
Original Articles
Online Publication Date:
Jun 2002

Study of Clinically Suspected Onychomycosis in a Podiatric Population

Maureen B. Jennings Assistant Dean for Research, New York College of Podiatric Medicine, 1800 Park Ave, New York, NY 10035.

Search for other papers by Maureen B. Jennings in
Current site
Google Scholar
PubMed Close
 DPM
,
Jeffrey M. Weinberg Director of Clinical Research, St. Luke’s–Roosevelt Hospital Center, New York, NY.

Search for other papers by Jeffrey M. Weinberg in
Current site
Google Scholar
PubMed Close
 MD
,
Evelyn K. Koestenblatt Clinical Assistant Professor, New York Medical College, Metropolitan Hospital Center, New York, NY.

Search for other papers by Evelyn K. Koestenblatt in
Current site
Google Scholar
PubMed Close
 MS
, and
Christine Lesczczynski Clinical Research Associate, Department of Institutional Research, New York College of Podiatric Medicine, New York, NY.

Search for other papers by Christine Lesczczynski in
Current site
Google Scholar
PubMed Close
DOI:
https://doi.org/10.7547/87507315-92-6-327
Restricted access
Copyright Permission Requests
USD  $35.00
Click here to view the full Terms and Conditions

Onychomycosis, by definition, is a mycotic infection of the keratinized tissue of the nail plate. Although it is commonly considered to be caused by one of the dermatotropic fungi, a variety of other organisms have been implicated as etiologic agents in the disease, including some bacteria and yeasts. When it is caused by a fungus, any or all of three types of organisms can be involved: dermatophytes, yeasts, and nondermatophyte organisms. The purpose of this study was to identify the microorganisms found in fungal cultures of clinically suspected onychomycosis in the patient population of the Foot Clinics of New York in New York City, the largest foot clinic in the world. Of the 1,800 medical charts reviewed, 214 had culture results, of which 120 were positive. Trichophyton rubrum was the most prevalent pathogen, found in 67% of positive cultures. The most remarkable risk factor was age, with 80% of affected individuals older than 35 years. False-negatives may account for the high percentage (44%) of negative cultures in this study. (J Am Podiatr Med Assoc 92(6): 327-330, 2002)

Save