Korean J Med Mycol.
2003 Sep;8(3):103-109.
Common Difficulties in the Diagnosis and Therapy of Tinea in Patients Diagnosed in Dermatology Hospital in the Years 1981~2000
- Affiliations
-
- 1Mycological Laboratory, Department of General Nursing Medical Academy, Bialystok, Poland. kulak@hot.pl
- 2Dermatology Hospital, Bialystok, Poland.
- 3Department of Dermatology and Veneorology, Medical University of Bialystok, Bialystok, Poland.
- 4Mycoses Ambulatory Dermatology Hospital, Bialystok, Poland.
Abstract
- BACKGROUND
In the years 1981~2002 our department carried out a retrospective study of common difficulties in the diagnosis and therapy of tinea, over a 19 year period in Bialystok OBJECTIVE: The assessment of incidence of an inappropriate diagnosis and therapy of tinea and tinea incognito (TI) among patients treated at the Dermatology Hospital in Bialystok in the years 1981~2000. MATERIAL AND METHODS: All cases of tinea and TI diagnosed at the hospital were recorded in case records. All cases of tinea and TI were analyzed. RESULTS: We have identified the incidence of tinea in 1, 045 patients (4.3% of all patients - 24, 547). TI was diagnosed in 394 patients (37.7% of all patients with tinea). The most diagnostic-therapeutic problems were observed in the patients with tinea pedis, tinea corporis profunda and superficialis, tinea capitis profunda and superficialis, tinea of manum and pedis, tinea barbae profunda and onychomycosis. Before the patients admission to hospital, the following diagnoses were established: eczema, pyodermia, psoriasis, allergic dermatitis, allergisatio secondary. The misdiagnoses of tinea were made by pediatricians, general practitioners and dermatologists. CONCLUSIONS: In our study we have demonstrated a high percentage of TI in comparison with all tinea patients.
