Clothing habits and chronicity of dermatophytosis: Bridging the gap
DOI:
https://doi.org/10.66344/jpad.v30i1.1366Keywords:
Clothing habits, recurrent dermatophytosis, chronic dermatophytosis, hot and cold waterAbstract
Background Chronic and recurrent dermatophytic infections cause significant distress to the patients. The causal relationship of clothing in these patients remains underscored. The present study highlights the effect of clothing in causing multiple recurrences among Chronic Dermatophytosis patients.
Methods Patients of chronic recurrent dermatophytosis were enrolled from dermatology OPD and divided into Group I & II, each having patients with less than three & more than three recurrences during the last 6 months respectively. Each group was further divided into three subgroups i.e. Group A, B & C comprising of patients affected with tinea cruris, tinea corporis and both i.e. tinea cruris et corporis respectively. All groups were evaluated in reference to various clothing habits i.e. Type and material of cloth, Frequency of washing clothes, Separate washing of infected clothes, washing, drying and ironing of clothes along with the use of “V†shape inner garments.
Results Comparative evaluation of tinea corporis patients in Group I & II in relation to clothes washed in hot or cold water revealed 73% in Group I & 25% patients in Group II were washing their clothes in hot water while the rest were washing them in cold water. The data was statistically significant.
Conclusion Clothing habits can be a confounding factor in multiple recurrences of Dermatophytosis and washing clothes in hot water can prevent multiple recurrences of tinea corporis.
References
References
1. Dogra S, Uprety S. The menace of chronic and recurrent dermatophytosis in India: Is the problem deeper than we perceive?. Indian Dermatol Online J 2016; 7(2): 73.
2. Verma SB, Das A. Steroid-Modified Dermatophytosis: A Potential Epidemic in Developing Countries. In Pigmented Ethnic Skin and Imported Dermatoses 2018 (pp. 503-508). Springer, Cham.
3. Piñeiro L, Larruskain J, Idigoras P, Pérez-Trallero E. Trichophyton rubrum syndrome: The tip of the iceberg and a preventable outcome. Mycoses 2010; 53: 186.
4. Sousa MD, Santana GB, Criado PR, Benard G. Chronic widespread dermatophytosis due to Trichophyton rubrum: a syndrome associated with a Trichophyton-specific functional defect of phagocytes. Frontiers in microbiology. 2015; 6: 801.
5. Kershenovich R, Sherman S, Reiter O, Huss SR, Didkovsky E, Mimouni D et al. A unique clinicopathological manifestation of fungal infection: a case series of deep dermatophytosis in immunosuppressed patients. Am J Clin Dermatol 2017; 18(5): 697-704.
6. Tullio V, Cervetti O, Roana J, Panzone M, Scalas D, Merlino C et al. Advances in Microbiology, Infectious diseases and public health: refractory Trichophyton rubrum infections in Turin, Italy: a problem still present. In Advances in Microbiology, Infectious Diseases and Public Health 2015 (pp. 17-23). Springer, Cham.
7. de Freitas RS, Neves PS, Charbel CE, Criado PR, Nunes RS, Santos-Filho AM, et al. Investigation of superficial mycosis in cutaneous allergy patients using topical or systemic corticosteroids. Int J Dermatol 2017; 56: e194-8.
8. Habeb KA, Maikhan HK, Rachid SK. Molecular Identification of Dermatophytes among Clinical Isolates. Asian Journal of Natural & Applied Sciences Vol. 2016;5:2.
9. Rudramurthy SM, Shaw D. Epidemiology of Superficial Fungal Infections in Asia. In Clinical Practice of Medical Mycology in Asia 2020 (pp. 9-37). Springer, Singapore.
10. Bhatia VK, Sharma PC. Determination of minimum inhibitory concentrations of itraconazole, terbinafine and ketoconazole against dermatophyte species by broth microdilution method. Indian J Med Microbiol 2015; 33: 533-7.
11. Singh SK, Patwa DK, Tilak R, Das A, Singh TB. In vitro susceptibility of dermatophytes to oral antifungal drugs and amphotericin B in Uttar Pradesh, India. Indian J Dermatol Venereol Leprol 2019; 85(4): 388.
12. Ranganathan S, Menon T, Selvi SG, Kamalam A. Effect of socio-economic status on the prevalence of dermatophytosis in Madras. Indian J Dermatol Venereol Leprol 1995; 61: 16-8.
13. Bhatia VK, Sharma PC. Epidemiological studies on dermatophytosis in human patients in Himachal Pradesh, India. Springerplus 2014; 3: 134
14. Cai W, Lu C, Li X, Zhang J, Zhan P, Xi L et al. Epidemiology of superficial fungal infections in Guangdong, southern China: a retrospective study from 2004 to 2014. Mycopathologia 2016; 181(5-6): 387-95.
15. Pathania S, Rudramurthy SM, Narang T, Saikia UN, Dogra S. A prospective study of the epidemiological and clinical patterns of recurrent dermatophytosis at a tertiary care hospital in India. Indian J Dermatol Venereol Leprol 2018; 84:678-84.
16. Verma S, Madhu R. The great Indian epidemic of superficial dermatophytosis: an appraisal. Indian J Dermatol 2017; 62(3): 227.
17. LORINCZ AL, Sun SH. Dermatophyte viability at modestly raised temperatures. Arch Dermatol Res 1963; 88(4): 393-402.
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