دراسة انتشار فطور الأظفار لدى مرضى الصّداف

Authors

  • عبد الله الخيّر
  • ألحان سليمان

Abstract

تمّ إشراك 113 مريض في الدّراسة. تمّ اختيار المرضى من قسم الأمراض الجلديّة والزّهريّة في مشفى الأسد الجامعي في اللاذقيّة بين عاميّ 2012-2013. تمّ إجراء التحري الفطريّ لجميع المرضى الذّين أظهروا تغيّرات صدافيّة في الأظفار. وتهدف الدراسة إلى تقييم : معدّل حدوث التّغيّرات الظّفريّة لدى مرضى الصّداف، ومعدّل حدوث الفطار الظّفريّ لدى المرضى المصابين بصداف الأظفار، والعوامل الّتي يمكن أن تلعب دور في حدوث الفطار الظّفريّ لدى مرضى صداف الأظفار.

وجدنا تغيّرات ظفريّة لدى 61.9% من مرضى الصّداف(70 مريض) . كان الزّرع الفطريّ إيجابيّ لدى 34 مريض (48.6%). كان هناك زيادة في حدوث الفطار الظّفريّ لدى المرضى الّذين أظهروا مستويات مرتفعة لمقياس NAPSI ومدّة طويلة للإصابة بالصّداف والإصابة الصّدافيّة للأظفار. كان هناك علاقة بين الفطار الظّفريّ وعمر المريض. وجدنا ارتفاع في حدوث الفطار الظّفريّ لدى المرضى الّذين يتلقون معالجة جهازيّة مضادّة للصّداف (ميتوتريكسات ، سيكلوسبورين) . ولدى المرضى الّذين لديهم قصّة رضّ على الأظفار. لم تكن هناك علاقة بين الفطار الظّفريّ وجنس المريض.

أكّدت الدراسة أنّ الفطار الظّفريّ قد يصيب مرضى صداف الأظفار.

113 psoriatic patients participated in the study. The patients were selected from the Dermatology and Venereology  department at Alasad hospital in Lattakia city between 2012-2013 years. Mycological examination was carried out in all patients showing psoriatic nail changes .The aim of the study is to evaluate : the frequency of nail changes in  psoriatic patients, the frequency of onychomychosis in patients with nail psoriasis and  the factors that may have a role in the incidence of onychomcosis in patients with nail psoriasis.

Nail changes were seen in (61.9%) of psoriatic patients (70 patients). Positive mycological cultures were obtained from 34 patients (48.6%). There was an increase of the incidence of onychomycosis in patients with high levels of NAPSI and long duration of psoriasis and nail psoriasis. There was a relationship between onychomycosis and the age of the patient. We found an increase of the incidence of onychomycosis among the patients who had a systemic therapy for psoriasis (methotrexate,cyclosporine) and the patients who had a history of  contusion on nails. There was no relationship between onychomychosis and the gender of the patient.

This study confirmed that onychomycosis may occur in patients with nail psoriasis .

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Published

2015-12-24

How to Cite

1.
الخيّر عا, سليمان أ. دراسة انتشار فطور الأظفار لدى مرضى الصّداف. Tuj-hlth [Internet]. 2015Dec.24 [cited 2024Nov.24];36(5). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/1239

Issue

Vol. 36 No. 5 (2014): العلوم الصحية

Section

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