Navigation Links
Tinea of the nails underdiagnosed in children
Date:11/16/2007

In Europe, Tinea unguium has an incidence rate between 0 and 2.6% (average 0.3%) in general population. The symptoms of tinea of the nails are generally well tolerated by patients, causing a delay in medical consultation. Together these two factors represent a challenge for a pediatrician faced with diagnosis and treatment of tinea of the nails.

An increase in the number of cases of tinea of the nails was observed in the Hospital del Mar Pediatric Unit, in Barcelona. From 1976 to 1984, one patient was diagnosed with tinea of the nails (4), whereas this number has augmented considerably in the past 9 years, in which 12 patients have been diagnosed with this pathology.

Etiologic evaluation was carried out by: a) direct examination with 40% KOH at 400X; b) culture in specific medium; c) macro/micro morphologic evaluation of the colonies. T

welve cases of T. unguium were identified, of which four patients were 12 years old or younger, seven presented onycholysis and five demonstrated enlargements and change of color of the affected nails. The average duration of disease before diagnosis was 21.6 months (range 2-60 weeks). In eight patients, tinea of the nails coincided with tinea pedis. The etiology in 10 patients was T. rubrum and in 2 patients was T. tonsurans.

Although T. unguium is a disease that presents itself at all ages, it is more frequent among the adult population, leading pediatricians to overlook T. unguium as a possible diagnosis. Possibility of T. unguium occurring in younger children should not be discarded. In our study, three patients with T. unguium were 4-8 years old.

A susceptible host is necessary for infection to proceed, and susceptibility can arise from external as well as endogenous factors.

The researchers believe that T. unguium is frequently underdiagnosed by pediatricians. A pediatrician should be aware of the following: 1) tinea of the feet could coincide as well as predispose to tinea of the nails, as was observed in 66.6% of patients in the present study, 2) environmental epidemiological factors, and 3) broken, hyperkeratinized nails with color change or uneven structure, especially on the first and/or fifth toe(s) suggest T. unguium infection. In these situations, it is paramount to conduct an etiologic study to establish proper diagnosis and treatment.


'/>"/>

Contact: Maria Jesus Delgado
MariaJesus.Delgado@uab.es
Universitat Autonoma de Barcelona  
Source:Eurekalert

Related medicine news :

1. Children of depressed moms do better when dad is involved, SLU researcher finds
2. High pollution linked to poor lung function growth in children in Mexico City
3. NYC-area 1st: Morgan Stanley Childrens Hospital performs transcatheter pulmonary valve replacement
4. Obese Children Miss More School Days
5. Ultra-Runner to Run 63 Marathons in 63 Days for Children with Incurable Disease
6. Psoriasis Cure Now offers Back to School Resources for Parents of Children with Psoriasis
7. Researchers estimate about 9 percent of US children age 8 to 15 meet criteria for having ADHD
8. Majority of 2.4 Million U.S. Children With ADHD Not Diagnosed or Consistently Treated, According to New Gold Standard Study by Cincinnati Childrens Researchers
9. Practice-based intervention has sustained benefits for children and families
10. 1.5 million children could be saved
11. Annual flu shot cuts need for doctors visits, hospitalization among children
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Tinea of the nails underdiagnosed in children
(Date:6/23/2017)... ... June 24, 2017 , ... Studies show evidence that ... the risk of visual loss in these patients. , But how often do ophthalmologists ... smoking cessation to patients at risk of or with early symptoms of AMD? A ...
(Date:6/23/2017)... ... June 23, 2017 , ... Everybody has their own personal preference when it ... it, and some people don't like it at all. FindaTopDoc took a look at ... Erotic literature can give readers a taste of their deepest, darkest fantasies and has ...
(Date:6/23/2017)... , ... June 23, 2017 , ... ... Cancer Conference from Sept. 18 to 20. , The two-day conference is focused ... with the goal of improving patients’ lives and eliminating racial breast cancer-related disparities. ...
(Date:6/23/2017)... ... June 23, 2017 , ... Ross Insurance Agency ( ... Federal Emergency Management Agency’s (FEMA) recent update of flood zones, more people than ... Biggert-Waters Act was enacted to reflect the actual risk in flood zone areas ...
(Date:6/23/2017)... ... June 23, 2017 , ... Jusino Insurance Services, a ... in the greater Chicago metropolitan area, is embarking on a charity drive in ... Chicago. , Founded in 1897, Hephzibah Children’s Association is one of the oldest ...
Breaking Medicine News(10 mins):
(Date:6/1/2017)... BELL, Pa. , June 1, 2017 ... (PRN) and Veterinarian Recommended Solutions (VRS), and KD Pharma ... investment in Nutriceutical Holdings by KD Pharma Group. KD ... Holdings with the option to acquire the entire company. ... partner in KD. They are committed to growing the ...
(Date:5/29/2017)... May 29, 2017  Cellect Biotechnology Ltd. (NASDAQ: ... which enables the functional selection of stem cells, today ... the first quarter ended March 31 st , 2017. ... accomplishments in the first quarter of 2017," said Dr. ... we announced the treatment of the first blood cancer ...
(Date:5/23/2017)... , May 23, 2017  Leaf Healthcare, recognized ... medical devices for pressure ulcer prevention, will unveil ... Association of Critical Care Nurses, National Teaching Institute ... The Leaf Patient Monitoring System is ... the hospital environment.  The system seamlessly tracks patient ...
Breaking Medicine Technology: