{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T13:23:50Z","timestamp":1788009830508,"version":"build-2784847793"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T00:00:00Z","timestamp":1475539200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Dermatology"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Onychomycosis (<jats:styled-content style=\"fixed-case\">OM<\/jats:styled-content>) is thought to be a rare disease in children, although there are few epidemiologic studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This 3\u2010year retrospective case series of nearly 400 children seen at Rady Children's Hospital\u2013San Diego (<jats:styled-content style=\"fixed-case\">RCHSD<\/jats:styled-content>) describes the characteristics of <jats:styled-content style=\"fixed-case\">OM<\/jats:styled-content> found in this pediatric population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From 2011 to 2013, the Pediatric and Adolescent Dermatology Clinic at <jats:styled-content style=\"fixed-case\">RCHSD<\/jats:styled-content> saw a total of 36,634 unique patients, of whom 433 were unique patients with <jats:styled-content style=\"fixed-case\">OM<\/jats:styled-content>. Thirty\u2010four patients met exclusion criteria, leaving 399 (1.1%) with a diagnosis of <jats:styled-content style=\"fixed-case\">OM<\/jats:styled-content> by a pediatric dermatologist. Nail cultures were obtained in 242 cases (60.7%), 116 (48.0%) of which were positive. <jats:italic>Trichophyton rubrum<\/jats:italic> was the most commonly isolated pathogen, responsible for 106 cases (91.3%) of positive cultures in the cohort.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our study provides important regional information regarding epidemiologic data in pediatric onychomycosis, highlighting the diagnostic methods most commonly used and the pathogens most frequently encountered in our practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pde.12986","type":"journal-article","created":{"date-parts":[[2016,10,12]],"date-time":"2016-10-12T15:15:48Z","timestamp":1476285348000},"page":"46-49","source":"Crossref","is-referenced-by-count":30,"title":["Epidemiologic Analysis of Onychomycosis in the San Diego Pediatric Population"],"prefix":"10.1111","volume":"34","author":[{"given":"Christine 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California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence F.","family":"Eichenfield","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of California San Diego La Jolla California"},{"name":"Pediatric and Adolescent Dermatology Rady Children's Hospital University of California San Diego La Jolla California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,10,4]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/0250-474X.49088"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12323"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-3083.2006.01631.x"},{"key":"e_1_2_5_5_1","volume-title":"Ninth Revision","author":"International Classification of 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