{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:39:36Z","timestamp":1787071176413,"version":"build-2736575974"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>There is a constant need to define the epidemiological and mycological characteristics of onychomycosis (OM) for optimal management strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To define the epidemiological and mycological characteristics of patients with dermatophyte toenail OM in a tertiary care hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Hundred consecutive patients of KOH and culture-positive dermatophyte toenail OM were subjected to detailed history, clinical examination and investigations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Maximum number of patients (40%) belonged to 31-45 years age group and there was a male preponderance (M:F = 6.7:1). The mean duration of disease was 54 months. Thirty-three patients had fingernail involvement in addition to the toenail OM and 37% had co-existent cutaneous dermatophyte infection. Discoloration was the most common symptom (98%). Ninety-four (94%) patients had distal lateral subungual onychomycosis (DSLO) while two had superficial onychomycosis (SO) and only one had proximal superficial onychomycosis (PSO).\n                      <jats:italic toggle=\"yes\">Trichophyton interdigitale<\/jats:italic>\n                      was the most common etiological agent (61%) followed by\n                      <jats:italic toggle=\"yes\">Trichophyton rubrum<\/jats:italic>\n                      and\n                      <jats:italic toggle=\"yes\">Trichophyton verrucosum<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      Toenail OM is more common in males. DSLO was the most common clinical variant and\n                      <jats:italic toggle=\"yes\">T. interdigitale<\/jats:italic>\n                      the most common etiological fungus responsible for toenail OM in our region. The importance of early diagnosis and treatment is highlighted as long-standing toenail OM predisposes to fingernail onychomycosis and recurrent tinea pedis.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0019-5154.152511","type":"journal-article","created":{"date-parts":[[2015,3,3]],"date-time":"2015-03-03T04:48:42Z","timestamp":1425358122000},"page":"153-158","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":23,"title":["Clinico-Mycological Study of Dermatophyte Toenail Onychomycosis in New Delhi, India"],"prefix":"10.4103","volume":"60","author":[{"given":"Pravesh","family":"Yadav","sequence":"first","affiliation":[{"name":"From the Department of Dermatology and STD, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, Delhi, 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