title: High prevalence of foot diseases in Europe: results of the Achilles Project.
abstract: OBJECTIVE
  To provide an insight into the prevalence of foot disease in Europe, and to include an assessment of the prevalence of predisposing factors and their correlation with foot disease.
  
  
  METHODS
  Large population-based survey conducted in 16 European countries.
  
  
  METHODS
  The project consisted of two parts (study I and study II), in which all patients presenting to general practitioners and dermatologists over a defined time period were invited to participate. Patients. In study I, 70,497 patients presenting to dermatologists or general practitioners were recruited, and in study II 19,588 patients presenting to dermatologists were recruited.
  
  
  METHODS
  The feet of all participants were examined for signs of foot disease. The assessors also recorded relevant details such as the age and sex of patients, and the presence of predisposing factors for foot disease. In addition, patients in study II were offered a free mycological examination of the toenails and skin on the feet.
  
  
  RESULTS
  In study I, 57.0% of patients had at least one foot disease. In study II, 61.3% had at least one foot disease. The proportions of patients with fungal foot disease and non-fungal foot disease in study I were 34.9% and 38.4%, respectively, and in study II were 40.6% and 41.7%, respectively. Orthopedic conditions and metatarsal corns were the most frequently reported non-fungal foot diseases, and onychomycosis and tinea pedis were the most frequently observed fungal infections.
  
  
  CONCLUSIONS
  This large-scale survey suggests that the prevalence of fungal and non-fungal foot disease is higher than previously estimated.
authors.affiliation: Limburgs Universitair Centrum, Diepenbeek, Belgium. tomasz.burzkowski@luc.ac.be
authors.forename: T
authors.initials: T
authors.lastname: Burzykowski
authors.forename: G
authors.initials: G
authors.lastname: Molenberghs
authors.forename: D
authors.initials: D
authors.lastname: Abeck
authors.forename: E
authors.initials: E
authors.lastname: Haneke
authors.forename: R
authors.initials: R
authors.lastname: Hay
authors.forename: A
authors.initials: A
authors.lastname: Katsambas
authors.forename: D
authors.initials: D
authors.lastname: Roseeuw
authors.forename: P
authors.initials: P
authors.lastname: van de Kerkhof
authors.forename: R
authors.initials: R
authors.lastname: van Aelst
authors.forename: G
authors.initials: G
authors.lastname: Marynissen
mesh_terms: D000328:Adult; D002145:Callosities / Q000453:epidemiology; D015984:Causality; D003430:Cross-Sectional Studies; D003881:Dermatomycoses / Q000453:epidemiology* / Q000382:microbiology; D005060:Europe / Q000453:epidemiology; D005260:Female; D005530:Foot Deformities / Q000453:epidemiology; D005533:Foot Dermatoses / Q000453:epidemiology*; D005534:Foot Diseases / Q000453:epidemiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009262:Nails / Q000382:microbiology; D014009:Onychomycosis / Q000453:epidemiology / Q000382:microbiology; D012867:Skin / Q000382:microbiology; D014008:Tinea Pedis / Q000453:epidemiology / Q000382:microbiology