{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:25:22Z","timestamp":1773102322159,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,9,21]],"date-time":"2023-09-21T00:00:00Z","timestamp":1695254400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Onychomycosis is a common nail infection caused by dermatophytes, nondermatophytes molds (NDM), and yeasts. The prevalence of <jats:italic>Aspergillus<\/jats:italic> spp. is increasing worldwide. This study aims to describe the epidemiological and microbiological features of onychomycosis, especially for <jats:italic>Aspergillus<\/jats:italic> spp.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a 5\u2010year retrospective study of clinically suspected onychomycosis in one microbiological clinic in Albania. The mycological examination, which included direct microscopic examination of nail scrapings with 20% KOH and culture, was performed on 411 patients. After incubation, we studied the macroscopic characteristics of the colonies, size, shape, and color, and their microscopic examination. We evaluated positive cases for <jats:italic>Aspergillus<\/jats:italic>, all cases where <jats:italic>Aspergillus<\/jats:italic> was grown in the culture, the microscopy was positive, and the culture was negative for dermatophyte.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Onychomycosis resulted positive in 267 patients (52.9% females vs. 47.1% males). A total of 62.2% resulted infected by dermatophytes, 29.6% by yeasts, and 8.2% by NDM. Onychomycosis resulted more frequent in the age group 15\u201364\u2009years old (63%). <jats:italic>Aspergillus<\/jats:italic> spp. were found in 19 patients from 22 patients with NDM onychomycosis. Males (11 patients) and the age group 15\u201364\u2009years old (14 patients) were more vulnerable to <jats:italic>Aspergillus<\/jats:italic> spp. <jats:italic>A. niger<\/jats:italic>, <jats:italic>A. flavus<\/jats:italic>, and <jats:italic>A. terreus<\/jats:italic> isolated from the nail cultures in our study. The culture resulted more superior to KOH examinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study indicates that NDM, including <jats:italic>Aspergillus<\/jats:italic> spp., are still rare findings from fungal examinations. However, dermatologist's clinical suspicion and microbiologist's skills are mandatory in diagnosing and properly managing patients with <jats:italic>Aspergillus<\/jats:italic> spp.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijd.16836","type":"journal-article","created":{"date-parts":[[2023,9,22]],"date-time":"2023-09-22T03:46:58Z","timestamp":1695354418000},"page":"1365-1370","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A 5\u2010year single\u2010center study about onychomycosis with a focus on Aspergillus spp. in Albania"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8026-8995","authenticated-orcid":false,"given":"Monika","family":"Fida","sequence":"first","affiliation":[{"name":"Dermatology Department University of Medicine of Tirana  Tirana Albania"},{"name":"University of Medicine of Tirana  Tirana Albania"},{"name":"University Hospital Center \u201cMother Teresa\u201d  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