Achilles foot screening project: preliminary results of patients screened by dermatologists
Achilles foot screening project: preliminary results of patients screened by dermatologists
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DOI：
10.1111/j.1468-3083.1999.tb00909.x
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发表时间：
1999-09-01
影响因子：
9.2
通讯作者：
Roseeuw, D
中科院分区：
文献类型：
--
作者：
Roseeuw, D
目的介绍1997年和1998年春季在几个欧洲国家进行的足部筛查项目“脚癣”的初步结果。在EADV大会上，只有初步的研究结果，即，皮肤科医生筛选的患者，presented.Subject足部疾病，特别是真菌感染（足癣和甲癣）。方法问卷调查和真菌学检查的患者访问皮肤科医生的疾病，无论他们的脚problems.Results足部疾病的患者比例高（58%）。在总人口中，真菌感染是最常见的临床诊断的足部疾病（35%），特别是甲真菌病（23%）和足癣（22%）。足部疾病的患病率随着年龄的增长而增加，与女性相比，更多的男性患有足部真菌感染。最常见的诱发因素是血管疾病和体育参与。在甲癣受试者中，大脚趾甲最常受到影响。23%的临床诊断为足癣和/或甲癣的参与者同时感染了皮肤和指甲。最常见的病原体是红色毛癣菌。甲真菌病患者的生活质量问题，特别是疼痛和不适walking.Conclusion初步结果表明，这一泛欧洲的研究表明，流行病学研究可以更好地了解足部疾病的皮肤病患者。结果表明，需要更加重视足部疾病，预测和预防未来的疾病和并发症。最常见的足部疾病是真菌感染，特别是甲真菌病，影响患者的生活质量。1999年将有更多的结果。(C)1999 Elsevier Science B. V.保留所有权利。
Objective Presentation of the preliminary results from the foot screening project, 'Achilles', conducted in spring of 1997 and 1998 in several European countries. At the EADV congress, only the preliminary results of the study, i.e, patients screened by dermatologists, were presented.Subject Foot diseases, especially fungal infections (tinea pedis and onychomycosis).Methods A questionnaire and a mycological examination in patients visiting a dermatologist for disorders irrespective of their foot problems.Results The proportion of patients with foot diseases visiting a dermatologist was high (58%). In the total population, fungal infections were the most prevalent clinically diagnosed foot diseases (35%), especially onychomycosis (23%) and tinea pedis (22%). The prevalence of foot diseases increased with advancing age and more men as compared with women had fungal infections of the feet. The most prevalent predisposing factors were vascular disease and sports participation. In subjects with onychomycosis, the big toenail was affected most often. Twenty-three percent of the participants with clinically diagnosed tinea pedis and/or onychomycosis had infection of both the skin and the nail. The most frequently isolated pathogen was Trichophyton rubrum. Patients with onychomycosis often reported quality of life problems, especially pain and discomfort in walking.Conclusion The preliminary results of this pan-European study show that epidemiological studies can give a better idea of foot diseases in dermatological patients. The results indicate a need to pay more attention to foot disease, to predict and prevent future diseases and complications. The most frequent foot diseases were fungal infections, especially onychomycosis, which affects the quality of life of the patients. More results will be available in 1999. (C) 1999 Elsevier Science B.V. All rights reserved.