Study of Clinical, Onychoscopic, Koh Mount and Histopathological Findings in a Patient of Onychomycosis
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Abstract
BACKGROUND:
The fungal infection of the nail unit caused by dermatophytes, nondermatophytes , yeasts is onychomycosis. prevalence is 0.5%- 5% in India. The type of causative organism largely depends upon factors like geographical distribution, climate, co-morbidities. Therefore, it is important to correctly classify the infective agent in order to provide a proper management and treatment.
OBJECTIVES:
- To study clinical features of onychomycosis.
- To study the onychoscopic (nail dermoscopy) features of onychomycosis.
- To study features of onychomycosis on KOH mount.
- To study histopathological features of onychomycosis
- Correlation of clinical findings of onychomycosis with onychoscopy, KOH mount, histopathological findings.
METHODOLOGY: A detailed clinical examination will be done of patients with of fungal infection of nail . A single representative nail will be chosen for onychoscopy and nail changes will be observed under a dermatoscope. With the help of a nipper, a fragment of the affected nail will be cut and will be placed in a dry container. Specimen will be collected in two different dry containers- one for PAS staining for histopathological examination and other for preparation of KOH mount to look for fungal elements.
RESULTS: Clinical findings of fungal infection of nail are corelated with onychoscopy, KOH mount, histopathological findings.
CONCLUSION: Diagnostic and therapeutic steps can be taken towards patient in management of onychomycosis, which can facilitate the correct treatment and prevent A misdiagnosis that can endanger patients to the wrong treatment