E-ISSN 2534-9821
 

Case Report 


Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion

Farida Tabri.

Abstract
Onychomycosis is a chronic fungal infection caused by dermatophytes or yeasts which lead to the destruction of the nail plate of the hands and feet. Onychomycosis is rare in children, but its prevalence is reported to increase in children and adolescents, accounting for 20% of all dermatophyte infections. Distolateral subungual onychomycosis (DLSO) is the most common clinical form. Treatment of onychomycosis depends on several factors including the severity of the nail, the efficacy and the potential side effects of the treatment regimen. Usually onychomycosis in children treated with combination of systemic and topical therapy. And usually patient treated with topical therapies alone donít give a satisfactory result.
We report a case of Distolateral Subungual Onychomycosis in an 11-year-old girl with nail dystrophy on the hand and foot in the last 3 months. Physical examination showed found discoloration and subungual keratosis on the third fingernail and on the third and four toenails. Fungal culture from the toenail and fingernail scraping showed the growth of T. rubrum and T. schoenleinii, respectively. Based on the history taking, physical examination, and supporting examination, a diagnosis of onychomycosis was made. The patient responded well to a topical application of 2% Ketoconazole lotion after 20 days.

Key words: Children, Distolateral Subungual Onychomycosis, Ketokonozole lotion


 
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Pubmed Style

Tabri F, . Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion. Int J Med Rev Case Rep. 2019; 3(5): 235-241. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE


Web Style

Tabri F, . Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion. http://www.mdpub.net/?mno=19176 [Access: August 11, 2020]. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE


AMA (American Medical Association) Style

Tabri F, . Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion. Int J Med Rev Case Rep. 2019; 3(5): 235-241. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE



Vancouver/ICMJE Style

Tabri F, . Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion. Int J Med Rev Case Rep. (2019), [cited August 11, 2020]; 3(5): 235-241. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE



Harvard Style

Tabri, F. & (2019) Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion. Int J Med Rev Case Rep, 3 (5), 235-241. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE



Turabian Style

Tabri, Farida, and . 2019. Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion. International Journal of Medical Reviews and Case Reports, 3 (5), 235-241. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE



Chicago Style

Tabri, Farida, and . "Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion." International Journal of Medical Reviews and Case Reports 3 (2019), 235-241. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE



MLA (The Modern Language Association) Style

Tabri, Farida, and . "Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion." International Journal of Medical Reviews and Case Reports 3.5 (2019), 235-241. Print. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE



APA (American Psychological Association) Style

Tabri, F. & (2019) Distolateral subungual onychomycosis in children successfully treated with topical 2% ketoconazole lotion. International Journal of Medical Reviews and Case Reports, 3 (5), 235-241. doi:10.5455/IJMRCR.ONYCHOMYCOSIS-IN-CHILDREN-TREATED-KETOKONAZOLE