Etiological and clinical-epidemiological aspects of mycoses of the feet and onychomycosis in outpatients

The etiological and clinical-epidemiological features of foot mycoses and onychomycosis in outpatients were studied. In total, there were 326 patients with onychomycosis and mycosis of the feet treated in the clinic of the RCDV and the Family medicine centersin Bishkek. There were 140 men (42.9%), women – 186 (57.1%). KOH microscopy and culture studies on highly selective Sabouraud media were used for diagnosis. Mycosis of the feet and onychomycosis in almost all cases are caused by dermatomycetes - Tr. rubrum and Tr. mentagrophytes var. interdigitale (93.6%). Tr. rubrum as a monoinfection prevailed 7.8 times over Tr. mentagrophytes var. interdigitale (75.3% vs. 9.7%); combined lesion of Tr. rubrum with mold fungi was registered in 5.3%, with fungi of the genus Candida in 3.1%. Mixed infection Tr. mentagrophytes var. interdigitale + molds in 1.8%. Mold onychomycosis in the form of a monoinfection – in 3.5%, candidiasis of the nails – in 1.3% of patients. Women outnumbered men by 1.3 times (57% and 43%, respectively). Onychomycosis was 1.6 times more common among employees compared to pensioners (43% versus 27.6%). Concomitant diseases were common (66.3%), with the predominant pathology of the gastrointestinal tract and cardiovascular system, angiopathy of various origins. The distal-lateral form of onychomycosis was registered in 53.9%, total-dystrophic – in 31.9% of patients. Skin lesions on the feet were noted in all patients with onychomycosis, with squamous (48.2%), squamous- hyperkeratotic (21.2%) and hidden (14.4%) forms of mycosis prevailing