Abstract

Background: Human nails bear longitudinal furrows on both upper and lower surface. These furrows are formed as the nails grow and correspond to parallel dermal ridges irregularly distributed on the nail bed. Often there is fungal invasion in a longitudinal narrow band according to the furrows of the nail bed, clinically recognized streak type onychomycosis.

Objective: Our purpose was to investigate the clinical features, causative organisms, and predisposing factors and to evaluate the treatment responses of oral antifungal agent in streak type onychomycosis.

Methods: The study was conducted with 387 cases of onycomycosis (45 cases of streak type, 342 cases of non-streak type) and 50 normal controls examined at Department of Dermatology, Hanyang University Guri Hospital from June, 2001 to May, 2004. Streak type onychomycosis was devided into three clinical presentations: distal type (20 cases), lateral type (19 cases), and multiple type (6 cases).

Results: In the groups of distal and multiple type of streak type onychomycosis, the longitudinal nail furrows were deep compared to the groups of non-streak type onychomycosis and normal control (p<0.05). In the group of distal type of streak type onychomycosis, the tinea pedis severities were low compared to the group of non-streak type onychomycosis (p<0.05). There was no statistically significant difference when comparing the nail growth rate of the groups of streak type onychomycosis, non-streak type onychomycosis, and normal control (p>0.05). In the groups of distal and lateral type of streak type onychomycosis, the treatment responses were poor compared to the group of non-streak type onychomycosis (p<0.05).

Conclusion: Treatment response is poor in streak type onychomycosis, therefore, extra treatments in addition to oral antifungal agents should be considered. If the patients who have deep longitudinal nail furrow are affected with tinea pedis, effective therapies in early stage should be considered to prevent to progress to streak type onychomycosis.

Keywords

Streak type Onychomycosis Predisposing factors Treatment responses

KJMM 2005 March;10(1):21-29(9). Epub 2016 February 20
Copyright © 2005 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Dae-Heon Oh; Department of Dermatology, College of Medicine, Hanyang University, Seoul, Korea
Chul Eun; Department of Graduate School, Hanyang University, Seoul, Korea
Jeong-Soo Kim; Department of Dermatology, College of Medicine, Hanyang University, Seoul, Korea
Hee-Joon Yu; Department of Dermatology, College of Medicine, Hanyang University, Seoul, Korea

Corresponding

Hee-Joon Yu, Department of Dermatology, College of Medicine, Hanyang University, Seoul, Korea. Tel: (031) 560-2280, Fax: (031) 557-4872, e-mail: yuhjoon@hanyang.ac.kr

Publication history

Acknowledgements

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Dae-Heon Oh

Department of Dermatology, College of Medicine, Hanyang University, Seoul, Korea

Chul Eun

Department of Graduate School, Hanyang University, Seoul, Korea

Jeong-Soo Kim

Department of Dermatology, College of Medicine, Hanyang University, Seoul, Korea

Hee-Joon Yu

Department of Dermatology, College of Medicine, Hanyang University, Seoul, Korea

Since epub date 2016 February 20