Epidemiologic survey of onychomycosis in Koreans: Multicenter study

Sung Min Hwang, Dong Min Kim, Moo Kyu Suh, Kyung Sool Kwon, Ki Hong Kim, Byung In Ro, Kee Chan Moon, Kyu Joong Ahn, Young Ho Won, Hee Joon Yu, Kwang Hoon Lee, Baik Kee Cho

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Although there have been many studies about onychomycosis, no study about Koreans in onychomycosis has been reported in Korea. Objective: The purpose of this study was to investigate the onychomycosis in Koreans. Methods: From April, 2009, to March, 2010, 1,893 patients with onychomycosis who visited the department of dermatology at 10 university hospitals were evaluated. Results: Of 1,893 patients with onychomycosis, 93.8% were toenail onychomycosis, 2.2% fingernail onychomycosis, and 4.0% onychomycosis in both toenails and fingernails. Among the age groups, the incidence rate was highest over the sixties (35.6%). The ratio of male to female patients was 1.3:1. Distal and lateral subungual onychomycosis (80.3%) was the most common clinical type of onychomycosis. Combination therapy of oral terbinafine or itraconazole and topical amorolfine nail lacquer was most common in the treatment of onychomycosis. The most common reasons for combination therapy in onychomycosis were higher cure rate due to synergistic activity (40.2%), followed by shortened treatment duration (12.8%), patient compliance (12.3%), and prevention of recurrence and reinfection (1.7%). Conclusion: Because of the increase in onychomycosis, we suggest the need of standard treatment guidelines for Korean patients with onychomycosis.

Original languageEnglish
Pages (from-to)35-43
Number of pages9
JournalKorean Journal of Medical Mycology
Volume16
Issue number2
DOIs
Publication statusPublished - 2011 Jun

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Onychomycosis
Multicenter Studies
Nails
terbinafine
Surveys and Questionnaires
Lacquer
Therapeutics
Itraconazole
Patient Compliance
Korea
Dermatology

All Science Journal Classification (ASJC) codes

  • Infectious Diseases

Cite this

Hwang, S. M., Kim, D. M., Suh, M. K., Kwon, K. S., Kim, K. H., Ro, B. I., ... Cho, B. K. (2011). Epidemiologic survey of onychomycosis in Koreans: Multicenter study. Korean Journal of Medical Mycology, 16(2), 35-43. https://doi.org/10.17966/kjmm.2011.16.2.35
Hwang, Sung Min ; Kim, Dong Min ; Suh, Moo Kyu ; Kwon, Kyung Sool ; Kim, Ki Hong ; Ro, Byung In ; Moon, Kee Chan ; Ahn, Kyu Joong ; Won, Young Ho ; Yu, Hee Joon ; Lee, Kwang Hoon ; Cho, Baik Kee. / Epidemiologic survey of onychomycosis in Koreans : Multicenter study. In: Korean Journal of Medical Mycology. 2011 ; Vol. 16, No. 2. pp. 35-43.
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title = "Epidemiologic survey of onychomycosis in Koreans: Multicenter study",
abstract = "Background: Although there have been many studies about onychomycosis, no study about Koreans in onychomycosis has been reported in Korea. Objective: The purpose of this study was to investigate the onychomycosis in Koreans. Methods: From April, 2009, to March, 2010, 1,893 patients with onychomycosis who visited the department of dermatology at 10 university hospitals were evaluated. Results: Of 1,893 patients with onychomycosis, 93.8{\%} were toenail onychomycosis, 2.2{\%} fingernail onychomycosis, and 4.0{\%} onychomycosis in both toenails and fingernails. Among the age groups, the incidence rate was highest over the sixties (35.6{\%}). The ratio of male to female patients was 1.3:1. Distal and lateral subungual onychomycosis (80.3{\%}) was the most common clinical type of onychomycosis. Combination therapy of oral terbinafine or itraconazole and topical amorolfine nail lacquer was most common in the treatment of onychomycosis. The most common reasons for combination therapy in onychomycosis were higher cure rate due to synergistic activity (40.2{\%}), followed by shortened treatment duration (12.8{\%}), patient compliance (12.3{\%}), and prevention of recurrence and reinfection (1.7{\%}). Conclusion: Because of the increase in onychomycosis, we suggest the need of standard treatment guidelines for Korean patients with onychomycosis.",
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Hwang, SM, Kim, DM, Suh, MK, Kwon, KS, Kim, KH, Ro, BI, Moon, KC, Ahn, KJ, Won, YH, Yu, HJ, Lee, KH & Cho, BK 2011, 'Epidemiologic survey of onychomycosis in Koreans: Multicenter study', Korean Journal of Medical Mycology, vol. 16, no. 2, pp. 35-43. https://doi.org/10.17966/kjmm.2011.16.2.35

Epidemiologic survey of onychomycosis in Koreans : Multicenter study. / Hwang, Sung Min; Kim, Dong Min; Suh, Moo Kyu; Kwon, Kyung Sool; Kim, Ki Hong; Ro, Byung In; Moon, Kee Chan; Ahn, Kyu Joong; Won, Young Ho; Yu, Hee Joon; Lee, Kwang Hoon; Cho, Baik Kee.

In: Korean Journal of Medical Mycology, Vol. 16, No. 2, 06.2011, p. 35-43.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Epidemiologic survey of onychomycosis in Koreans

T2 - Multicenter study

AU - Hwang, Sung Min

AU - Kim, Dong Min

AU - Suh, Moo Kyu

AU - Kwon, Kyung Sool

AU - Kim, Ki Hong

AU - Ro, Byung In

AU - Moon, Kee Chan

AU - Ahn, Kyu Joong

AU - Won, Young Ho

AU - Yu, Hee Joon

AU - Lee, Kwang Hoon

AU - Cho, Baik Kee

PY - 2011/6

Y1 - 2011/6

N2 - Background: Although there have been many studies about onychomycosis, no study about Koreans in onychomycosis has been reported in Korea. Objective: The purpose of this study was to investigate the onychomycosis in Koreans. Methods: From April, 2009, to March, 2010, 1,893 patients with onychomycosis who visited the department of dermatology at 10 university hospitals were evaluated. Results: Of 1,893 patients with onychomycosis, 93.8% were toenail onychomycosis, 2.2% fingernail onychomycosis, and 4.0% onychomycosis in both toenails and fingernails. Among the age groups, the incidence rate was highest over the sixties (35.6%). The ratio of male to female patients was 1.3:1. Distal and lateral subungual onychomycosis (80.3%) was the most common clinical type of onychomycosis. Combination therapy of oral terbinafine or itraconazole and topical amorolfine nail lacquer was most common in the treatment of onychomycosis. The most common reasons for combination therapy in onychomycosis were higher cure rate due to synergistic activity (40.2%), followed by shortened treatment duration (12.8%), patient compliance (12.3%), and prevention of recurrence and reinfection (1.7%). Conclusion: Because of the increase in onychomycosis, we suggest the need of standard treatment guidelines for Korean patients with onychomycosis.

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