The assessment of dermatophyte infections in psoriatic patients Psoriazisli olgularda dermatofit enfeksiyonlarinin deǧerlendirilmesi


Koçak A. Y., Peksari Y., KARAARSLAN A.

Turkiye Klinikleri Dermatoloji, cilt.20, sa.1, ss.23-27, 2010 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 1
  • Basım Tarihi: 2010
  • Dergi Adı: Turkiye Klinikleri Dermatoloji
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.23-27
  • Anahtar Kelimeler: Arthrodermataceae, Onychomycosis, Psoriasis, Tinea pedis
  • Ankara Üniversitesi Adresli: Evet

Özet

Objective: Psoriasis is a common disease that can affect skin, hair and nail. Skin and nail changes in psoriatic patients can resemble changes seen at dermatophytic infections. The aim of this study is to determine the prevalance and causative agents of dermatophyte infections of psoriatic patients and to compare the results with the nonpsoriatics. Material and Methods: One hundred psoriatic and 100 nonpsoriatic patients as control group were included in this study. patients were examined for clues of dermatophytic infections and nail and skin samples were taken from the patients with clinically abnormal changes. Direct microscopic examination and fungal cultures were performed. Results: One hundred patients with psoriasis (49 female, 51 male) and 100 patients without psoriasis (52 female, 48 male)patients with a total of 200 were included in this study. The mean age was 43.35 (±15.064) in psoriatics and 41.21 (±13.981) in the other group. No difference were seen between the groups for age and gender (p= 0.299 and p= 0.777). The prevalance of dermatophytic infections was 9% (3% with tinea pedis and 6% with tinea unguium) in psoriasis and 13% (9% with tinea pedis, 7% with tinea unguium, and 3% with both) in control group. The aetiologic agent was Trichophyton rubrumin 2 and Trichophyton mentagrophytesin 5 of the dermatophytic infections seen on psoriatic patients and Trichophyton rubrumin 12, Trichophyton mentagrophytes in 1 of the patients of the control group. The most common type of tinea pedis was interdigital type and the most common type of onychomycosis was distal lateral subungual type. Subungual hyperkeratosis was the most common clinical feature seen in tinea unguium. Conclusion: No statistical difference were found between psoriatic and control groups for dermatophytic infections, tinea pedis and tinea unguium (p> 0.05). No increase at dermatophyte infections were seen at this study. Copyright © 2010 by Türki ye Klinikleri.