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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background: Several dermoscopic findings that could be helpful in diagnosing onychomycosis have been reported in many cases, but they have not been sufficiently utilized in clinical practice.
Objective: To evaluate and identify the dermoscopic findings that may assist in the accurate diagnose of onychomycosis.
Methods: The study included 42 patients with clinical features suggestive of onychomycosis based on the clinical history, physical examination, dermoscopic findings, and mycological investigation. Clinical photographs and nail dermoscopy images were obtained, which were retrospectively reviewed and analyzed according to the onychomycosis classification.
Results: In total, 42 representative nails were reviewed. Common dermoscopic patterns such as yellow/brown discoloration and subungual hyperkeratosis were found in our onychomycosis patients. Key findings observed in specific subtypes were distolateral subungual onychomycosis with "jagged edges with spikes", proximal subungual onychomycosis or white superficial onychomycosis with irregularly bordered homogeneous leukonychia with postinflammatory hyperpigmentation on the proximal nail fold, and fungal melanonychia with nail plate roughness and nail fold hyperkeratosis.
Conclusion: Our study, along with previous studies, demonstrated dermoscopy as a quick and effective tool for diagnosing onychomycosis. In addition, periungual dermoscopic findings can be an important clue in onychomycosis diagnosis, especially in cases of fungal melanonychia and leukonychia.
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참고문헌 (14)
참고문헌 신청
Kaynak E / 2018 / The role of dermoscopy in the diagnosis of distal lateral subungual onychomycosis / Arch Dermatol Res 310:57~69
Kato J / 2019 / Dermoscopy of melanoma and non-melanoma skin cancers / Front Med (Lausanne) 6:180
Weber P / 2018 / Dermatoscopy of neoplastic skin lesions: recent advances, updates, and revisions / Curr Treat Options Oncol 19:56
Piraccini BM / 2013 / Nail digital dermoscopy (onychoscopy) in the diagnosis of onychomycosis / J Eur Acad Dermatol Venereol 27:509~513
Kayarkatte MN / 2020 / Nail dermoscopy(onychoscopy)findings in the diagnosis of primary onychomycosis : a cross-sectional study / Indian J Dermatol Venereol Leprol 86:341~349
Kato J / 2019 / Dermoscopy of melanoma and non-melanoma skin cancers / Front Med (Lausanne) 6:180
Weber P / 2018 / Dermatoscopy of neoplastic skin lesions: recent advances, updates, and revisions / Curr Treat Options Oncol 19:56
Piraccini BM / 2013 / Nail digital dermoscopy (onychoscopy) in the diagnosis of onychomycosis / J Eur Acad Dermatol Venereol 27:509~513
Kayarkatte MN / 2020 / Nail dermoscopy(onychoscopy)findings in the diagnosis of primary onychomycosis : a cross-sectional study / Indian J Dermatol Venereol Leprol 86:341~349
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