New approaches to treatments and molecular diagnosis of fungal foot pathologies

A special issue of Journal of Fungi (ISSN 2309-608X). This special issue belongs to the section "Fungal Pathogenesis and Disease Control".

Deadline for manuscript submissions: closed (31 May 2022) | Viewed by 4553

Special Issue Editors


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Guest Editor
Department of Anatomy and Human Embryology, University Center of Plasencia, University of Extremadura, 10600 Plasencia, Spain
Interests: nail development; structure, composición and clasification; new approaches to molecular diagnosis on foot pathologies (onychomycosis, psoriasis, papillomavirus....); treatments of onychomycosis and plantar warts

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Guest Editor
Faculty of Health Sciences, University of Castilla-La Mancha. Talavera de la Reina, Spian
Interests: diagnosis on foot pathologies; fungi

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Guest Editor
Department of Nursing, University Center of Plasencia, University of Extremadura, 10600 Plascencia, Spain
Interests: foot affections; molecular diagnosis

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Guest Editor
Faculty of Medicine, University of Coimbra, Coimbra, Portugal
Interests: Candida albicans; Endodontic irrigants
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Special Issue Information

Dear Colleagues,

This Special Issue, New approach to treatments and molecular diagnosis of fungal foot pathologies, welcomes submissions of original research and review articles on novel strategies for diagnosis, clinical approaches and new treatments based on fungal foot infections, including research on classical treatment with a new focus.

Topics of interest include, but are not limited to, the following:

- Improvement in diagnosis of fungal infections in podiatry;

- Clinical strategies for microbiological control in podiatry;

- New approach on treatments for mycosis and onychomycosis.

Dr. Raquel Mayordomo Acevedo
Dr. Félix Marcos Tejedor
Dr. Ana María Pérez Pico
Dr. Teresa Gonçalves
Guest Editors

Manuscript Submission Information

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Keywords

  • diagnosis
  • treatment
  • infection diseases
  • foot
  • nail
  • onychomycosis
  • podiatry

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Published Papers (2 papers)

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Research

10 pages, 272 KiB  
Article
Onychomycosis in Two Populations with Different Socioeconomic Resources in an Urban Nucleus: A Cross-Sectional Study
by Pilar Alfageme-García, Víctor Manuel Jiménez-Cano, María del Valle Ramírez-Durán, Adela Gómez-Luque, Sonia Hidalgo-Ruiz and Belinda Basilio-Fernández
J. Fungi 2022, 8(10), 1003; https://doi.org/10.3390/jof8101003 - 24 Sep 2022
Cited by 2 | Viewed by 1474
Abstract
Onychomycosis is one of the most common foot conditions. Mixed onychomycosis and onychomycosis caused by non-dermatophyte moulds are increasing in incidence, especially in vulnerable populations, hence the importance of this study, which presents the prevalence of onychomycosis in a population of homeless people, [...] Read more.
Onychomycosis is one of the most common foot conditions. Mixed onychomycosis and onychomycosis caused by non-dermatophyte moulds are increasing in incidence, especially in vulnerable populations, hence the importance of this study, which presents the prevalence of onychomycosis in a population of homeless people, comparing the findings with a sample of a well-resourced population. The total sample consisted of 70 participants, divided into two separate groups, a homeless population and a second group in which we included people attending a private clinic. The average age of the sample is [49.19 ± 28.81] with an age range of 18 to 78 years. In the homeless group, the most prevalent infectious agents were non-dermatophyte fungi, with a total of 48%, compared to 28% in the group housed. The most common site of infection in both groups was the nail of the first finger. We, therefore, conclude that there is a difference in the infecting agent in the homeless population and the population with homes. Full article
7 pages, 851 KiB  
Article
Assessment of Visual Diagnosis by Podiatrists for HPV and Onychomycosis: The Need for Complementary Tests
by Alberto Aldana-Caballero, Raquel Mayordomo and Félix Marcos-Tejedor
J. Fungi 2022, 8(2), 135; https://doi.org/10.3390/jof8020135 - 29 Jan 2022
Cited by 4 | Viewed by 2639
Abstract
Onychomycosis and human papillomavirus (HPV) plantar warts are common in clinical practice. Clinical diagnosis is based on searching for pathognomonic signs and symptoms. However, due to misdiagnosis, podiatrists may unnecessarily prescribe antifungal treatments or burn lesions with chemical agents. The objective of this [...] Read more.
Onychomycosis and human papillomavirus (HPV) plantar warts are common in clinical practice. Clinical diagnosis is based on searching for pathognomonic signs and symptoms. However, due to misdiagnosis, podiatrists may unnecessarily prescribe antifungal treatments or burn lesions with chemical agents. The objective of this study was to assess podiatrists’ visual diagnosis of these infections and their willingness to use complementary tests. A 12-item questionnaire was developed to assess visual diagnostic ability. The diagnoses of all lesions were verified before the questionnaire was sent out. The respondents were 415 podiatrists with a range of years of experience. While 86.3% of podiatrists considered complementary tests for onychomycosis necessary, only 21.4% used them regularly. As many as 60.2% would leave a distal subungual onychomycosis untreated based on visual diagnosis. In the case of HPV, only 14.5% of respondents considered complementary tests necessary, although 76.6% would treat a non-HPV lesion with regular chemical agents. Years of experience did not affect the percentage of misdiagnoses. Complementary tests are needed in clinical practice to avoid unnecessary treatments. Podiatrists easily identify clear signs and symptoms but have difficulty making differential diagnoses. Research should focus on ensuring complementary tests are available to health professionals. Full article
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