Severe kyphosis as a risk factor of umbilical trichophytosis in elderly people / Journal of Rural Medicine

Objective: To determine whether severe kyphosis is one of the risk factors of umbilical trichophytosis in elderly people.Patients and Methods: Four cases with umbilical trichophytosis in the last 3 years and all 143 patients who visited to our clinic during from April 2018 to March 2019 were included in this study. The relationship between the condition of umbilical region and kyphosis was investigated. As regards the levels of senile kyphosis, simple visual classification of the kyphosis method was used (Level 0–4).Results: All four cases with umbilical trichophytosis were elderly women aged ≥80 years, had severe kyphosis, skin overlaps, filthy umbilical region, and lumps of dirt in the umbilical region and had nail tinea. Only two cases had umbilical trichophytosis among 143 patients who visited our clinic during the 1 year study period, with incidence is of 1.4%/year. About 65.7%, 60%, and 37.1% of 35 patients with kyphosis with forward-bent posture had skin overlap, moist, and filthy umbilical regions, respectively. However, these symptoms were not found in patients without severe kyphosis.Conclusion: Severe kyphosis with forward-bent posture could be one of the risk factors of umbilical trichophytosis in elderly people.

Problems in the diagnosis of profound trichophytosis barbae.

Zoophilic species of human dermatophytoses, such as Trichophyton mentagrophytes are significantly rare. We present a case of a 42-year-old male who for 2 months had been unsuccessfully treated and then referred to hospital with suspected actinomycosis. Lesions on the skin on his neck, submandibular area, cheeks and groins were consistent with extremely painful, merging inflammatory tumours and infiltrations with the presence of numerous pustules in hair follicles that poured purulent contents forming into yellow crusts after compression. The treatment with terbinafine was successful. The final identification of the Trichopyton mentagrophytes var. granulosum strain was performed based on a microscopic assessment of the culture, and the result of species identification was confirmed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis.

The Epidemiological, Clinical and Mycological Studies on Trichophytosis Gladiatorum Prevailing Among Korean Wrestlers / 대한의진균학회지

BACKGROUND: Trichophytosis gladiatorum is dermatophytosis transmitted by a physical contact between wrestlers. OBJECTIVE: To investigate the current status of the illness in Korean amateur wreatlers. METHOD: The epidemiological, clinical and mycological studies were performed on dermatophytosis in a total of 1, 394 Korean amateur wrestlers through a nation-wide group examination from July, 1995 to April, 1996. RESULTS: A number of 575 (42.5%) cases of tinea were detected throughout the country among 1, 394 wrestlers. The prevalence rate of tinea in wrestling students was 48.4% for middle school, 41.4% for high school, 30% for college and above. The head and neck area was the predilection site of the skin lesions, which decreased in number as moving towards legs. As a whole, the lesions affected the right half of the body 1.7 times as more frequently as the left half. The tendency of a predilection for the right side of the body was most prominent on the head, typified by auricle (2.8 times). In case of the scalp, the lesions developed on the right temporal, right occipital, left occipital and left temporal regions, in decreasing order. The scalp lesions were noted in 44.7% of the total tinea patients - erythematous scaly patches affecting 69.2% of the total tinea capitis patients, followed by alopecia, black dot ringworm, seborrheic dermatitis-like scales, folliculitits, cervical lymphadenitis, kerion celsi, in decreasing order. From 360 patients (62.6%), dermatophytes were isolated - 359 strains of Trichophyton tonsurans (207 of sulfureum variety, 137 of mahogany variety, 15 of both), 1 of Microsporum canis. The varieties of T. tonsurans showed a tendency to occur in groups in the same districts and teams. CONCLUSION: Trichophytosis gladiatorum due to T. tonsurans is prevailing among Korean wrestler. Proper epidemiological measures must be taken to prevent further spreading of the disease.

The Epidemiological, Clinical and Mycological Studies on Trichophytosis Gladiatorum Prevailing Among Korean Wrestlers / 대한의진균학회지

BACKGROUND: Trichophytosis gladiatorum is dermatophytosis transmitted by a physical contact between wrestlers. OBJECTIVE: To investigate the current status of the illness in Korean amateur wreatlers. METHOD: The epidemiological, clinical and mycological studies were performed on dermatophytosis in a total of 1, 394 Korean amateur wrestlers through a nation-wide group examination from July, 1995 to April, 1996. RESULTS: A number of 575 (42.5%) cases of tinea were detected throughout the country among 1, 394 wrestlers. The prevalence rate of tinea in wrestling students was 48.4% for middle school, 41.4% for high school, 30% for college and above. The head and neck area was the predilection site of the skin lesions, which decreased in number as moving towards legs. As a whole, the lesions affected the right half of the body 1.7 times as more frequently as the left half. The tendency of a predilection for the right side of the body was most prominent on the head, typified by auricle (2.8 times). In case of the scalp, the lesions developed on the right temporal, right occipital, left occipital and left temporal regions, in decreasing order. The scalp lesions were noted in 44.7% of the total tinea patients - erythematous scaly patches affecting 69.2% of the total tinea capitis patients, followed by alopecia, black dot ringworm, seborrheic dermatitis-like scales, folliculitits, cervical lymphadenitis, kerion celsi, in decreasing order. From 360 patients (62.6%), dermatophytes were isolated - 359 strains of Trichophyton tonsurans (207 of sulfureum variety, 137 of mahogany variety, 15 of both), 1 of Microsporum canis. The varieties of T. tonsurans showed a tendency to occur in groups in the same districts and teams. CONCLUSION: Trichophytosis gladiatorum due to T. tonsurans is prevailing among Korean wrestler. Proper epidemiological measures must be taken to prevent further spreading of the disease.

Epidemiological, Clinical and Mycological Studies of Trichophytosis Gladiatorum Prevailing among Korean Judoists / 대한의진균학회지

BACKGROUND: Since 1995, a nation-wide outbreak of trichophytosis gladiatorum has been noted among wrestlers and judoists alike in Korea. OBJECTIVE: To investigate the current status of the illness among Korean judoists. METHOD: The epidemiological, clinical and mycological studies were performed on dermatophytosis among athlelets during all-Korea judo tournaments from April, 1999 to May, 2000. RESULTS: A total of 316 cases of trichophytosis gladiatorum were detected throughout the country. The majority of patients (204, 64.6%) were high school students, followed by judoists attending middle school (18.7%), and college and above (16.7%). The scalp was the most favorite site of the skin lesions, followed by upper extremities including hands, face, neck, trunk and legs. The right arm was affected by tinea 1.6 times more frequently than the left one; in the legs the right to left ratio was 0.6. As a whole, the lesions developed in equal frequency on each side of the body. The scalp lesions were noted in 133 patients (42.1%) : erythematous scaly patches were the most frequent, affecting 66.2% of the tinea capitis patients, followed by black dot ringworm (55.6%), alopecia (33.1%), etc. Twenty six (8.2%) of the entire trichophytosis patients had a family history. Mother, brothers, father, sisters, and aunt were said to be affected by the illness in a decreasing order of frequency. Out of 316 patients, 38 (12.0%) were culture negative and 36 (11.4%) showed a contaminant. From the remaining 242 patients (76.6%), Trichophyton tonsurans (mahogany variety) was isolated. Randomly selected 38 strains of T. tonsurans showed positive results for hair perforation and urease test. CONCLUSION: Trichophytosis gladiatorum has recently been rampaging among domestic judoists. A sustained follow-up study seems necessary to monitor the spread of T. tonsurans infection to the general population from the reservoir of judoists.