Clinical Diagnostic Accuracy of Onychomycosis: A Multispecialty Comparison Study.
Clinical Diagnostic Accuracy of Onychomycosis: A Multispecialty Comparison Study.
复制标题
甲真菌病的临床诊断准确性：多专业比较研究。
DOI：
10.1155/2018/2630176
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发表时间：
2018
影响因子：
1.5
通讯作者：
Mostaghimi,Arash
中科院分区：
文献类型：
--
作者：
Li,DavidG;Cohen,JeffreyM;Mikailov,Anar;Williams,RamoneF;Laga,AlvaroC;Mostaghimi,Arash
Although onychomycosis can be diagnosed clinically, many guidelines still recommend pathologic confirmation of the diagnosis prior to initiation of systemic treatment. We retrospectively reviewed results from 541 toenail clippings (160 by dermatologists, 198 by podiatrists, and 183 by other provider types) sent to the Brigham and Women’s Department of Dermatopathology between January 2000 and December 2013 for confirmatory periodic acid‐Schiff (PAS) testing of clinically diagnosed onychomycosis. Of these, 93 (58.1%), 125 (63.1%), and 71 (38.8%) were sent for confirmation of onychomycosis (as opposed to diagnosis of onychodystrophy) by dermatologists, podiatrists, and other provider types, respectively. Confirmatory PAS stains were positive in 70 (75.3%), 101 (80.8%), and 47 (66.2%) of samples ordered by dermatologists, podiatrists, and other providers, respectively. Our study demonstrates that clinical diagnosis of onychomycosis in the appropriate clinical setting is accurate across specialties. Further prospective investigation on the accuracy of clinical diagnosis of onychomycosis may be beneficial.
