한국인의 손발톱진균증 환자의 역학적 조사: 다기관 연구
- 한국인의 손발톱진균증 환자의 역학적 조사: 다기관 연구
- Other Titles
- Epidemiologic Survey of Onychomycosis in Koreans: Multicenter Study
- 김기홍; 황성민[황성민]; 김동민[김동민]; 서무규[서무규]; 권경술[권경술]; 노병인[노병인]; 문기찬[문기찬]; 안규중[안규중]; 원영호[원영호]; 유희준[유희준]; 이광훈[이광훈]; 조백기[조백기]
- Onychomycosis; Epidemiologic survey; Koreans
- Issue Date
- 대한의진균학회지, v.16, no.2, pp.35 - 43
- Background: Although there have been many studies about onychomycosis, no study about Koreans in onychomycosis has been reported in Korea.
Objective: The purpose of this study was to investigate the onychomycosis in Koreans.
Methods: From April, 2009, to March, 2010, 1,893 patients with onychomycosis who visited the department of dermatology at 10 university hospitals were evaluated.
Results: Of 1,893 patients with onychomycosis, 93.8% were toenail onychomycosis, 2.2% fingernail onychomycosis, and 4.0% onychomycosis in both toenails and fingernails. Among the age groups, the incidence rate was highest over the sixties (35.6%). The ratio of male to female patients was 1.3:1. Distal and lateral subungual onychomycosis (80.3%) was the most common clinical type of onychomycosis.
Combination therapy of oral terbinafine or itraconazole and topical amorolfine nail lacquer was most common in the treatment of onychomycosis. The most common reasons for combination therapy in onychomycosis were higher cure rate due to synergistic activity (40.2%), followed by shortened treatment duration (12.8%), patient compliance (12.3%), and prevention of recurrence and reinfection (1.7%).
Conclusion: Because of the increase in onychomycosis, we suggest the need of standard treatment guidelines for Korean patients with onychomycosis.
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