Tinea pedis: a clinical dilemma in Bangladeshi population
Keywords:
Tinea pedis, BangladeshAbstract
Background Tinea pedis is an important public health problem because of the increase in immunosuppressive states. Large scale studies in Asia are scarce, and the baseline incidence of tinea pedis is not firmly established. Objective To find out the clinical types of tinea pedis among the Bangladeshi population. Patients and methods 200 clinically suspected cases of tinea pedis were included in this study. In all cases, samples were collected for KOH microscopy and culture. Clinical pattern and associated relevant factors were noted according to a predetermined protocol. Results Papulosquamous tinea pedis was the most common clinical pattern in 80 (40%) followed by intertriginous type in 70 (35%) patients. Hyperkeratotic pattern was found less commonly in 45 (22.5%) patients followed by bullous pattern in 5 (2.5%) patients. Conclusion The incidence of papulosquamous type of tinea pedis is relatively higher among the Bangladeshi population than other countries.ÂReferences
Sobera JO, Elewski BE. Fungal Diseases. In: Bolognia JL, Jorizzo JL, Rapini RP, eds. Dermatology, Volume 1. New York: Mosby; 2003. P. 1171-98.
Habif TP, ed. Clinical Dermatology, 3rd edn. St. Louis: Mosby; 1996. P. 366-369.
Verma S, Heffernan, MP. Superficial fungal infection: dermatophytosis, onychomycosis, tinea nigra, piedra. In: Wolff K, Goldsmith LA, Katz SI et al., eds. Fitzpatrick’s Dermatology in General Medicine, 7th edn, Volume 2. New York: McGraw Hill Medical; 2008. P. 1807-21.
Elewski BE, Hazen PG. The superficial mycoses and the dermatophytes. J Am Acad Dermatol 1989; 21: 655-73.
Singh KA, Srivastava KS. A clinico-cytological study on tinea pedis at Ranchi. Studies 1994; 60: 68-71.
Elewski BE, Elgart ML, Jacobs PH et al. Guidelines of care for superficial mycotic infections of the skin: Tinea corporis, tinea cruris, tinea faciei, tinea manuum, and tinea pedis. J Am Acad Dermatol 1996; 34: 282-6.
Szepietowski JC, Reich A, Garlowska E et al. Factors influencing coexistence of toenail onychomycosis with tinea pedis and other dermatomycoses. Arch Dermatol 2006; 142: 1279-84.
Hapcioglu B, Yegenoglu Y, Disci R et al. Epidemiology of superficial mycosis (tinea pedis, onychomycosis) in elementary school children in Istanbul, Turkey. Coll Antropol 2006; 30: 119-24.
Kenna ME, Elewski BE. A U.S. epidemiologic survey of superficial fungal diseases. J Am Acad Dermatol 1996; 35: 539-42.
Krejci-Manwaring J, Schulz MR, Feldman SR et al. Skin disease among Latino farm workers in North Carolina. J Agricultural Safety and Health 2006; 12: 155-63.
Hay RJ, Moore MK. Mycology: tinea pedis. In Burn T, Breathnach S, Cox N, Griffiths C, editors. Rook’s Textbook of Dermatology, 5th edn. London: Blackwell Science; 2004. p. 31.32-5.
Sharma NL, Gupta ML, Sharma RC et al. Superficial mycoses in Simla. Ind J Dermatol Venereol Leprol 1983; 49: 266-9.
Tsuboi R. Human beta-defensin-2, an antimicrobial peptide, is elevated in scales collected from tinea pedis patients. Int J Dermatol 2006; 45: 1389-90.
Daniel CR, Jellinek NJ. The pedal fungus reservoir. Arch Dermatol 2006; 142:1344-6.
Foster KW, Gahannoum MA, Elewski BE. Epidemiologic surveillance of cutaneous fungal infection in the United States from 1999-2002. J Am Acad Dermatol 2004; 50: 748-52.
Allen S, Christmas TI, McKinney W et al. The Auckland skin clinic tinea pedis and erythrasma study. NZ Med J 1990; 103: 391-3.
Attye A, Auger P, Joly J. Incidence of occult athlete's foot in swimmers. Eur J Epidemiol 1990; 6: 244-7.
Pickup TL, Adams BB. Prevalence of tinea pedis in professional and college soccer players versus non-athletes. Clin J Sport Med 2007; 17: 52-4.
El-Segini Y, Schill WB, Weyers W. Bullous tinea pedis in an elderly man. Mycoses 2002; 45: 428-30.
Nishimoto K. An epidemiological survey of dermatomycoses in Japan, 2002. Japanese J Med Mycology 2006; 47: 103-11.
