Clinical Diagnostic Accuracy of Onychomycosis: A Multispecialty Comparison Study
Joint Authors
Li, David G.
Cohen, Jeffrey M.
Mikailov, Anar
Williams, Ramone F.
Laga, Alvaro C.
Mostaghimi, Arash
Source
Dermatology Research and Practice
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-03
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Li, David G.& Cohen, Jeffrey M.& Mikailov, Anar& Williams, Ramone F.& Laga, Alvaro C.& Mostaghimi, Arash. 2018. Clinical Diagnostic Accuracy of Onychomycosis: A Multispecialty Comparison Study. Dermatology Research and Practice،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1153839
Modern Language Association (MLA)
Li, David G.…[et al.]. Clinical Diagnostic Accuracy of Onychomycosis: A Multispecialty Comparison Study. Dermatology Research and Practice No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1153839
American Medical Association (AMA)
Li, David G.& Cohen, Jeffrey M.& Mikailov, Anar& Williams, Ramone F.& Laga, Alvaro C.& Mostaghimi, Arash. Clinical Diagnostic Accuracy of Onychomycosis: A Multispecialty Comparison Study. Dermatology Research and Practice. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1153839
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1153839