The role of dermoscopy in the diagnosis of distal lateral subungual onychomycosis

dc.contributor.authorKaynak, Emre
dc.contributor.authorGoktay, Fatih
dc.contributor.authorGunes, Pembegul
dc.contributor.authorSayman, Elif
dc.contributor.authorTuran, Deniz
dc.contributor.authorBaygul, Arzu
dc.contributor.authorAytekin, Sema
dc.date.accessioned2024-03-13T10:30:42Z
dc.date.available2024-03-13T10:30:42Z
dc.date.issued2018
dc.departmentİstanbul Beykent Üniversitesien_US
dc.description.abstractRecently dermoscopic patterns, that can be useful in the diagnosis of distal and lateral subungual onychomycosis, were identified. In this study, we aimed to determine the frequency of the defined patterns so far and additionally to identify other patterns that were observed and to investigate the place of these patterns in the diagnosis of Distal Lateral Subungual Onychomycosis (DLSO) in the dermoscopic examination of the patients with pre-diagnosis of DLSO. Patients admitted dermatology outpatient clinic of Haydarpasa Numune Training and Research Hospital with the complaint of nail disturbance suspicious for DLSO (97 patients) between the August 2015 and February 2016. Clinical and dermoscopic photographs of the cases with a pre-diagnosis of DLSO were taken and their nails were cut for pathological examination and culture. In hematoxylin and eosin, and periodic acid schiff examination, hyphe and/or spore were observed in 134 (65.4%) and fungal growth was detected in 99 (48.3%) of the nail samples. As a result of logistic regression model analysis, the p values of the 'ruin appearance', 'homogeneous leukonychia', 'punctate leukonychia', and 'black discoloration' patterns preserved their statistical significance (p = 0.015, p = 0.009, p = 0.026, p = 0.040, respectively). We believe that in nail disorders clinically resembling DLSO patients, the presence of dermoscopic patterns of ruin appearance, homogenous leuconychia, punctate leuconychia, and black discoloration strongly supports the clinical diagnosis of DLSO.en_US
dc.identifier.doi10.1007/s00403-017-1796-2
dc.identifier.endpage69en_US
dc.identifier.issn0340-3696
dc.identifier.issn1432-069X
dc.identifier.issue1en_US
dc.identifier.pmid29177757en_US
dc.identifier.scopus2-s2.0-85035119613en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage57en_US
dc.identifier.urihttps://doi.org/10.1007/s00403-017-1796-2
dc.identifier.urihttps://hdl.handle.net/20.500.12662/3502
dc.identifier.volume310en_US
dc.identifier.wosWOS:000419436000006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofArchives Of Dermatological Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNail diseasesen_US
dc.subjectOnychomycosisen_US
dc.subjectDiagnosisen_US
dc.subjectDermoscopyen_US
dc.subjectPathologyen_US
dc.subjectCultureen_US
dc.titleThe role of dermoscopy in the diagnosis of distal lateral subungual onychomycosisen_US
dc.typeArticleen_US

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