{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:33:21Z","timestamp":1787841201811,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Dermatophytosis has recently emerged as a major public health problem in the Indian subcontinent, most cases becoming chronic and recurrent.<\/jats:p>\n <\/jats:sec>\n \n Aims:<\/jats:title>\n Assessing the clinico-epidemiologic and mycologic profile of treatment na\u00efve, chronic, recurrent and steroid-modified dermatophytosis.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n We conducted across-sectional study involving 111 cases of dermatophytosis. Detailed epidemiology, clinical parameters, treatment history and other host factors were assessed along with scraping for potassium hydroxide (KOH) and fungal culture.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Among 111 patients,(F: M 1.7:1; mean age 44.4 \u00b1 18.2 years), 51.4% were treatment na\u00efve, while 34.2% and 14.4% presented with chronic and recurrent tinea respectively. Family history and sharing of fomites among infected family members was commoner in the latter groups (\n P<\/jats:italic>\n = 0.001). Topical steroid application was reported in 49.5%, however only 7.2% presented with steroid modified tinea. Tinea corporis et cruris (41.4%) was the predominant clinical type followed by tinea corporis (34.2%) and tinea cruris (27.9%). KOH mount and culture were positive in 62.2% and 39.6% cases respectively; commonest isolates being\n Trichophyton rubrum<\/jats:italic>\n , and\n Trichophyton mentagrophytes<\/jats:italic>\n complex in 15.3% cases each.\n Trichophyton rubrum<\/jats:italic>\n was the commonest etiology for treatment na\u00efve and recurrent cases, while\n Trichophyton mentagrophytes<\/jats:italic>\n was the commonest isolate from chronic and steroid-modified cases (\n P<\/jats:italic>\n = 0.0003). Interestingly,\n T.mentagrophytes<\/jats:italic>\n complex and\n T. rubrum<\/jats:italic>\n were the commonest causes of tinea corporis and tinea cruris respectively (\n P<\/jats:italic>\n = 0.07).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n Trichophyton rubrum<\/jats:italic>\n was the commonest organism in treatment na\u00efve and recurrent cases, while\n Trichophyton mentagrophytes<\/jats:italic>\n complex accounted for most cases of chronic and steroid modified tinea. The difference in predominant species seems to be a major contributory factor for chronicity and recurrence. However, several host factors like topical steroid use and sharing of fomites also play additional roles.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/idoj.idoj_909_20","type":"journal-article","created":{"date-parts":[[2021,11,16]],"date-time":"2021-11-16T09:22:05Z","timestamp":1637054525000},"page":"714-721","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["Clinico-Mycological Profile of Treatment-Na\u00efve, Chronic, Recurrent and Steroid-Modified Dermatophytosis at a Tertiary Care Centre in Eastern India: An Institution-Based Cross-SectionalStudy"],"prefix":"10.4103","volume":"12","author":[{"given":"Indraneel","family":"Saha","sequence":"first","affiliation":[{"name":"Department of Microbiology, College of Medicine and SagoreDutta Hospital, Kolkata- 700 058, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indrashis","family":"Podder","sequence":"additional","affiliation":[{"name":"Department of Dermatology, College of Medicine and SagoreDutta Hospital, Kolkata- 700 058, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.N.","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Dermatology, College of Medicine and SagoreDutta Hospital, Kolkata- 700 058, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susmita","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Department of Microbiology, College of Medicine and SagoreDutta Hospital, Kolkata- 700 058, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,9]]},"reference":[{"key":"R1-20260330","first-page":"14","article-title":"Dermatophytoses and spectrum of dermatophytes in 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