Assessment of Morphological Patterns of Dermatophytosis
- 1. Assistant Professor, Department of Dermatology, Venereology & Leprosy, Banas Medical College and Hospital, Palanpur, Gujarat
- 2. Senior Resident, Department of Dermatology, Venereology & Leprosy, Banas Medical College and Hospital, Palanpur, Gujarat
Description
Background and Aim: Dermatophytosis that is recurrent and clinically unresponsive is becoming more common in our country. It has a long history of exacerbations and remissions. However, there is little information in the published literature about the scope of the problem and the characteristics of recurrent dermatophytosis. The goal of our research is to discover the morphological pattern of dermatophytosis in different age groups and genders. Material and Methods: This 6-month prospective descriptive study was conducted in the dermatological outpatient department (OPD) of a tertiary medical centre in India. The study enlisted 200 patients with dermatophytosis who were willing to participate. A comprehensive dermatological, general, and systemic examination was performed. Based on their narrative and inspection, their diagnosis was verified. The patients were categorised based on their age, gender, disease duration, and dermatophytosis morphology. Results: In our study, the majority of the 200 instances (40.5%) were seen in the age group 21-30, with one case (0.5%) seen in the age group 71-80. There were 124 men (62%) and 76 women (38%). Dermatophytosis involving a single site was identified in 188 (94%) instances, with multiple site involvement seen in 12 (6%) cases. Out of the 188 cases with a single pattern of dermatophytosis, 100 cases (53.19%) had corporis pattern, 36 cases (19.14%) had incognito pattern, 23 cases (12.23%) had cruris pattern, 5 cases (2.65%) had faceii pattern, and 6 cases (3.19%) had pedis pattern. Conclusion: Young boys are the most vulnerable group. Tinea corporis is most commonly seen in an annular pattern. Tinea incognito was the second most prevalent manifestation in our study sample. This refers to the uncontrolled use of over-the-counter topical drugs with a mix of corticosteroids and antifungals.
Abstract (English)
Background and Aim: Dermatophytosis that is recurrent and clinically unresponsive is becoming more common in our country. It has a long history of exacerbations and remissions. However, there is little information in the published literature about the scope of the problem and the characteristics of recurrent dermatophytosis. The goal of our research is to discover the morphological pattern of dermatophytosis in different age groups and genders. Material and Methods: This 6-month prospective descriptive study was conducted in the dermatological outpatient department (OPD) of a tertiary medical centre in India. The study enlisted 200 patients with dermatophytosis who were willing to participate. A comprehensive dermatological, general, and systemic examination was performed. Based on their narrative and inspection, their diagnosis was verified. The patients were categorised based on their age, gender, disease duration, and dermatophytosis morphology. Results: In our study, the majority of the 200 instances (40.5%) were seen in the age group 21-30, with one case (0.5%) seen in the age group 71-80. There were 124 men (62%) and 76 women (38%). Dermatophytosis involving a single site was identified in 188 (94%) instances, with multiple site involvement seen in 12 (6%) cases. Out of the 188 cases with a single pattern of dermatophytosis, 100 cases (53.19%) had corporis pattern, 36 cases (19.14%) had incognito pattern, 23 cases (12.23%) had cruris pattern, 5 cases (2.65%) had faceii pattern, and 6 cases (3.19%) had pedis pattern. Conclusion: Young boys are the most vulnerable group. Tinea corporis is most commonly seen in an annular pattern. Tinea incognito was the second most prevalent manifestation in our study sample. This refers to the uncontrolled use of over-the-counter topical drugs with a mix of corticosteroids and antifungals.
Files
IJPCR,Vol15,Issue10,Article123.pdf
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Additional details
Dates
- Accepted
-
2023-09-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue10,Article123.pdf
- Development Status
- Active
References
- 1. Weitzman I, Summerbell RC. The dermatophytes. Clin Microbiol Rev. 1995; 8(2):240-59. 2. Pires CA, Cruz NF, Lobato AM, Sousa PO. Kanbe T, Suzuki Y, Kamiya A, et al. Speciesidentification of dermatophytes Trichophyton, Microsporum and Epidermophyton by PCR and PCR-RFLP targeting of the DNA topoisomerase II genes. J Dermatol Sci. 2003; 33:41—54. 3. Drakensjö IT, Chryssanthou E. Epidemiology of dermatophyte infections in Stockholm, Sweden: a retrospective study from 2005— 2009. Med Mycol 2011; 49:484—8. 4. Weitzman I, Summerbell RC. The dermatophytes. Clin Microbiol Rev 1995; 8:240-59. 5. Hassanzadeh Rad B, Hashemi SJ, Farasatinasab M, Atighi J. Epidemiological Survey of Human Dermatophytosis due to Zoophilic Species in Tehran, Iran. Iran J Public Health. 2018; 47(12):1930-6. 6. Kaul S, Yadav S, Dogra S. Treatment of Dermatophytosis in Elderly, Children, and Pregnant Women. Indian Dermatol Online J. 2017; 8(5):310-8. 7. DograS, UpretyS. The menace of chronic and recurrent dermatophytosis in India: Is the problem deeper than we perceive? Indian Dermatol Online J 2016; 7:73-6.8. Bhatia VK, Sharma PC. Epidemiological studies on dermatophytosis in human patients in Himachal Pradesh, India. Springerplus 2014; 3:134. 9. Havlickova B, Czaika VA, Friedrich M. Epidemiological trends in skin mycoses worldwide. Mycoses 2008; 51 Suppl 4:2-15. 10. Noronha TM, Tophakhane RS, Nadiger S. Clinico microbiological study of dermatophytosis in a tertiary-care hospital in North Karnataka. Indian Dermatol Online J. 2016; 7(4):264-71. 11. Sivaprakasam K, Govindan B. A clinicalmycological study of chronic dermatophytosis of more than years duration. Int J Sci Res. 2016; 5:551-4. 12. Lyngdoh CJ, Lyngdoh V, Choudhury B, Sangma KA, Bora I, Khyriem AB. Clinicomycological profile of dermatophytosis in Meghalaya. Int J Med Public Health. 2013; 3(4):254-6. 13. Vineetha M, Sheeja S, Celine MI, Sadeep MS, Palackal S, Shanimole PE, Das SS. Profile of Dermatophytosis in a Tertiary Care Center. Indian J Dermatol. 2018; 63(6):490-5. 14. Sultan S, Aslam A, Iqbal I, Younus F, Hassan I. Dermatophytosis: an Epidemiological and Clinical Comparative Study in a Tertiary Care Centre. Int J Contemp Med Res. 2020;7(6):f1- 5. 15. de Freitas RS, Neves PS, Charbel CE, Criado PR, Nunes RS, Santos-Filho AM, et al. Investigation of superficial mycosis in cutaneous allergy patients using topical or systemic corticosteroids. Int J Dermatol 2017; 56: e194-8. 16. Sudha M, Ramani CP, Anandan H. Prevalence of dermatophytosis in patients in a tertiary care centre. Int J Contemp Med Res. 2016; 3:2399- 401. 17. Narasimhalu CRV, M Kalyani, Somendar S. A Cross-Sectional, Clinico Mycological Research Study of Prevalence, Aetiology, Speciation and Sensitivity of Superficial Fungal Infection in Indian Patients. J Clin Exp Dermatol Res. 2020; 7:324. 18. Pathania S, Rudramurthy SM, Narang T, Saikia UN, Dogra S. A prospective study of the epidemiological and clinical patterns of recurrent dermatophytosis at a tertiary care hospital in India. Indian J Dermatol Venereol Leprol. 2018; 84(6):678-84. 19. 19. Chhabra N, Khare S, Das P, Wankhade AB. Clinicomycological Profile of Chronic Dermatophytosis in a Tertiary Care Centre from Raipur, Chhattisgarh. Indian Dermatol Online J. 2020; 12(1):165-8.