title: Onychomycosis by molds. Report of 78 cases.
abstract: A retrospective study of onychomycohosis by molds was carried out during a 14-year period (1992-2005). All cases were clinically and mycologically proven (repetitive KOH and culture) and then each of the molds was identified. A total of 5,221 cases of onychomycosis were evaluated, 78 of which were molds (1.49%). Mean patient age was 44.1 years. 75/78 cases occurred in toenails. Associated factors were detected in 39/78 (50.0%) cases, with the major ones being: peripheral vascular disease, contact with soil, and trauma. The most frequent clinical presentation was distal and lateral subungual onychomycosis (DLSO), in 54/78 cases (69%). The most frequent causative agents were: Scopulariopsis brevicaulis in 34/78 cases and Aspergillus niger in 13/78 cases. Onychomycoses by molds are infrequent; in this study they accounted for 1.49% of cases. The clinical features are virtually similar to those caused by dermatophytes, which makes the clinicomycological tests necessary.
authors.affiliation: Dermatology Service and Mycology Department, Hospital General de México OD, Sánchez-Azcona 317-202, Col del Valle, CP 03020, México D. F. a_bonifaz@yahoo.com.mx
authors.forename: Alexandro
authors.initials: A
authors.lastname: Bonifaz
authors.forename: Pamela
authors.initials: P
authors.lastname: Cruz-Aguilar
authors.forename: Rosa María
authors.initials: RM
authors.lastname: Ponce
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014009:Onychomycosis / Q000175:diagnosis* / Q000382:microbiology; D012189:Retrospective Studies