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Epidemiologic Analysis of Onychomycosis in the San Diego Pediatric Population
Author(s) -
Totri Christine R.,
Feldstein Stephanie,
Admani Shehla,
Friedlander Sheila F.,
Eichenfield Lawrence F.
Publication year - 2016
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12986
Subject(s) - medicine , trichophyton rubrum , retrospective cohort study , dermatology , epidemiology , pediatrics , population , cohort , disease , surgery , pathology , antifungal , environmental health
Background Onychomycosis ( OM ) is thought to be a rare disease in children, although there are few epidemiologic studies. Methods This 3‐year retrospective case series of nearly 400 children seen at Rady Children's Hospital–San Diego ( RCHSD ) describes the characteristics of OM found in this pediatric population. Results From 2011 to 2013, the Pediatric and Adolescent Dermatology Clinic at RCHSD saw a total of 36,634 unique patients, of whom 433 were unique patients with OM . Thirty‐four patients met exclusion criteria, leaving 399 (1.1%) with a diagnosis of OM by a pediatric dermatologist. Nail cultures were obtained in 242 cases (60.7%), 116 (48.0%) of which were positive. Trichophyton rubrum was the most commonly isolated pathogen, responsible for 106 cases (91.3%) of positive cultures in the cohort. Conclusions Our study provides important regional information regarding epidemiologic data in pediatric onychomycosis, highlighting the diagnostic methods most commonly used and the pathogens most frequently encountered in our practice.