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• W2092034355 abstract "Les onychomycoses ne représentent pas plus de 50 % de la pathologie unguéale. Les dermatophytes (Trichophyton rubrum et T. mentagrophytes interdigitale) sont les principaux agents rencontrés au niveau des pieds. Les levures du genre Trichosporon et surtout Candida (Candida albicans, Candida parapsilosis…) prédominent aux mains associées le plus souvent à une atteinte unguéale et un périonyxis. D’autres champignons que les classiques dermatophytes et les levures peuvent être isolés mais plus rarement d’ongles pathologiques. Parmi eux, on trouve surtout des espèces appartenant aux genres Scopulariopsis, Aspergillus et Fusarium, leur pouvoir pathogène doit être cependant bien précisé. Les autres moisissures, ayant une affinité particulière pour la kératine (pseudodermatophtes) appartenant au genre Neoscytalidium (ex : Scytalidium) issues des régions tropicales et subtropicales, sont considérées comme de vrais pathogènes et isolés d’ongles pathologiques, il en est de même pour Onychocola canadensis, issu en revanche de pays tempérés ou froids, impliqué surtout dans les onyxis des pieds de sujets âgés. Le rôle du laboratoire est d’identifier l’espèce en cause, et de démontrer que le champignon isolé des prélèvements d’ongle pathologique est bien le pathogène incriminé. Onychomycosis represent less than 50% of ungula pathology. Dematophytes (Trichophyton rubrum and T. mentagrophytes interdigitale) are the main agents found on feet. Yeasts from Trichosporon genus and specially Candida (Candida albicans, Candida parapsilosis,), are predominant on hands and very often associated to ungula disease and perionyxis. Fungus other than the classic dermatophytes and yeasts can be rarely isolated from nail diseases. Among them, species belonging to Scopulariopsis, Aspergillus and Fusarium genus are mainly found but their pathological implication must be proved. Other fungi, presenting a special affinity to keratin (pseudodermatophytes), such as Neoscytalidium (Scytalidium) genus, are found in tropical and subtropical areas and are considered as real pathogens isolated from nail diseases. The same remarks can be attributed to Onychola canadensis, found in tempered or cold countries and responsible of feet onyxis in adults. The role of the laboratory is to identify the species of the fungus isolated from nail diseases and to show its real pathological implication." @default.
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• W2092034355 date "2011-05-01" @default.
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• W2092034355 title "Place du laboratoire dans le diagnostic mycologique d’une onychomycose" @default.
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• W2092034355 doi "https://doi.org/10.1016/s1773-035x(11)70951-0" @default.
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