지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Background: Onychomycosis is a common fungal infection accounting for 50% of all nail disorders.
Above all the clinical types of onychomycosis, distal and lateral subungual onychomycosis (DLSO) is the most common clinical type seen up to 70~90% in onychomycosis patients. Even though the cure rate and recurrence rate of DLSO are considered to be different according to the clinical type of DLSO.
Clinical experience, there is a few clinical study showing the difference.
Objectives: This is to investigate the therapeutic efficacy of lateral type of DLSO comparing with the other types of DLSO.
Methods: We reviewed 81 DLSO cases who visited our clinic from June 1st, 2006 to June 31st, 2010,and classified them into 2 groups; lateral type and non-lateral types including edge, distal and linear type. We treated the patients with oral antifungal agent for 4 months, and followed them up in 2 months.
Scoring clinical index for onychomycosis (SCIO) was checked and photography was taken before treatment and after treatment.
Results: There are no significant differences in average age and male to female ratio between lateral DLSO and non-lateral DLSO. The comparison of SCIO score distribution before treatment between lateral DLSO and non-lateral DLSO showed no significant statistical difference. However, there was significant change in SCIO score distribution after the treatment. Decreased SCIO score in lateral DLSO was 6.99, while non-lateral DLSO was 11.1 (p=0.018). There was 2cases worsen cases in lateral DLSO, while there was no worsen case in non-lateral DLSO (p=0.019).
Conclusion: Lateral DLSO is more difficult to treat than non-lateral DLSO.
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등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Arrese JE / 2003 / Treatment failures and relapses in onychomycosis: a stubborn clinical problem / Dermatology 207 : 255 ~ 260
Baran R / 1996 / Lateral edge nail involvement indicates poor prognosis for treating onychomycosis with the new systemic antifungals / Acta Derm Venereol 76 : 82 ~ 83
Baran R / 1998 / A new classification of onychomycosis / Br J Dermatol 139 : 567 ~ 571
Effendy I / 2005 / Epidemiology and clinical classification of onychomycosis / J Eur Acad Dermatol Venerol 19 (1) : 8 ~ 12
Elewski BE / 1998 / Onychomycosis: pathogenesis, diagnosis, and management / Clin Microbiol Rev 11 : 415 ~
Baran R / 1996 / Lateral edge nail involvement indicates poor prognosis for treating onychomycosis with the new systemic antifungals / Acta Derm Venereol 76 : 82 ~ 83
Baran R / 1998 / A new classification of onychomycosis / Br J Dermatol 139 : 567 ~ 571
Effendy I / 2005 / Epidemiology and clinical classification of onychomycosis / J Eur Acad Dermatol Venerol 19 (1) : 8 ~ 12
Elewski BE / 1998 / Onychomycosis: pathogenesis, diagnosis, and management / Clin Microbiol Rev 11 : 415 ~
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