M S Ali-Shtayeh1, S Yaish2, R M Jamous3, H Arda4, E I Husein5. 1. Biodiversity and Environmental Research Center, BERC, Til, Nablus, Palestine. Electronic address: msshtayeh@yahoo.com. 2. Department of Biology, An-Najah University, Nablus, Palestine. Electronic address: syaish@najah.edu. 3. Biodiversity and Environmental Research Center, BERC, Til, Nablus, Palestine. Electronic address: ranam1992@yahoo.com. 4. Arda Dermatology Clinic, Nablus, Palestine. 5. Biodiversity and Environmental Research Center, BERC, Til, Nablus, Palestine. Electronic address: emanh@berc.ps.
Abstract
OBJECTIVE: To determine the epidemiology of dermatophytosis in Palestinian patients, detect changes in the etiological agents during the last three decades, and to correlate between concomitant tinea pedis infections, and other cutaneous lesions. MATERIALS AND METHODS: 220 suspected dermatophytosis patients were involved in this study. In an additional 38 cases, where consultation was prompted by tinea pedis, the presence of other lesions of concomitant dermatophytosis was studied, to further investigate the diagnosis. Clinical specimens were collected and identification of dermatophyte species was based on gross and microscopic morphology. RESULTS: Epidemiology of tinea capitis has gone the most radical changes in Palestine in the last three decades, with the zoophilic dermatophyte Microsporum canis replacing Trichophyton violaceum, becoming the predominant causative agent. During this study, 21.6% (38/176) patients with tinea pedis and concomitant lesions caused by the same dermatophytes at sites distant from the primary lesions in the foot were prospectively identified. About 63.2% of patients with tinea pedis have a concomitant toenail onychomycosis infection. CONCLUSIONS: The epidemiology of dermatophytosis, especially tinea capitis, has gone the most radical changes in Palestine in the last three decades, with M. canis replacing T. violaceum, and becoming the predominant causative agent of all cases of infections. The coexistence of tinea pedis with other types of fungal skin infections is a frequent phenomenon; we believe that the infected foot may be a site of primary infection. Thus, the effective therapy for tinea pedis is essential to prevent spreading the infection to other sites of the skin.
OBJECTIVE: To determine the epidemiology of dermatophytosis in Palestinian patients, detect changes in the etiological agents during the last three decades, and to correlate between concomitant tinea pedis infections, and other cutaneous lesions. MATERIALS AND METHODS: 220 suspected dermatophytosispatients were involved in this study. In an additional 38 cases, where consultation was prompted by tinea pedis, the presence of other lesions of concomitant dermatophytosis was studied, to further investigate the diagnosis. Clinical specimens were collected and identification of dermatophyte species was based on gross and microscopic morphology. RESULTS: Epidemiology of tinea capitis has gone the most radical changes in Palestine in the last three decades, with the zoophilic dermatophyte Microsporum canis replacing Trichophyton violaceum, becoming the predominant causative agent. During this study, 21.6% (38/176) patients with tinea pedis and concomitant lesions caused by the same dermatophytes at sites distant from the primary lesions in the foot were prospectively identified. About 63.2% of patients with tinea pedis have a concomitant toenail onychomycosis infection. CONCLUSIONS: The epidemiology of dermatophytosis, especially tinea capitis, has gone the most radical changes in Palestine in the last three decades, with M. canis replacing T. violaceum, and becoming the predominant causative agent of all cases of infections. The coexistence of tinea pedis with other types of fungal skin infections is a frequent phenomenon; we believe that the infected foot may be a site of primary infection. Thus, the effective therapy for tinea pedis is essential to prevent spreading the infection to other sites of the skin.
Authors: Sang Lim Kim; Kyou Chae Lee; Yong Hyun Jang; Seok-Jong Lee; Do Won Kim; Weon Ju Lee; Yong Jun Bang; Jae Bok Jun Journal: Ann Dermatol Date: 2016-07-26 Impact factor: 1.444
Authors: Mohammed S Ali-Shtayeh; Rana M Jamous; Salam Y Abu-Zaitoun; Ahmad I Khasati; Samer R Kalbouneh Journal: Evid Based Complement Alternat Med Date: 2019-10-20 Impact factor: 2.629