Dermoscopy and Onychomycosis: guided nail abrasion for mycological samples.

Dermoscopy and Onychomycosis: guided nail abrasion for mycological samples.
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皮肤镜检查和甲藻类病:真菌学样本的指甲磨损。

DOI:
10.1590/abd1806-4841.20154615
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发表时间:
2015-11
影响因子:
1.7
通讯作者:
Belda Junior W
Belda Junior W
中科院分区:
医学4区
文献类型:
--
作者:
Bet DL;Reis AL;Di Chiacchio N;Belda Junior W

文献摘要

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真菌学检查仍然是许多皮肤科医生诊断甲真菌病的基石,但取样技术干扰其敏感性和特异性。指甲磨损可用于达到病变的最近端部分,并且可以很容易地用电动磨光机完成。我们建议使用指甲皮肤镜来确定局部擦伤的最佳位置,以获得足够的样本进行真菌学检查。
Mycological examination is still the cornerstone for the diagnosis of onychomycosis for many dermatologists, but sampling technique interferes on its sensitivity and specificity. Nail abrasion may be used to reach the most proximal part of the lesion and can be easily accomplished with an electric abrasor. We suggest nail plate dermoscopy to identify the best location for localized abrasion to obtain adequate samples for mycological examination.