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Superficial Mycoses in Menopausal Age Women: 21 years' Experience

Background: Menopause is the permanent and irreversible absence of menstruation for at least a year. Usually, it is accompanied by typical physical and mental symptoms. Although, infections during menopause have been extensively documented, there is a lack of information regarding superficial mycoses.

Objective: Our objective was to determine the frequency of superficial mycoses in menopausal age women.

Methods: This is a retrospective chart review of menopausal age patients seen at the Mycology section in a single medical institution in Mexico City from 1994 to 2014. Clinical, epidemiological, and mycological data were reviewed.

Results: There were 881 patients studied and 811 cases were confirmed by a mycological test. Diagnoses in menopausal age women included onychomycosis (84.5%), tinea pedis (25.6%), candidiasis (7.8%), and tinea corporis (4.3%). The most common presentations of onychomycosis were distal and lateral subungueal (29.7%) and total dystrophic (32.2%).  In 36.7% the diagnosis was simply “onychomycosis”. The most common etiologic agents in onychomycosis were Trichophyton rubrum (39.8%) and Candida spp. (45.3%). The most common etiologic agent in tinea corporis and pedis was T. rubrum. The types of candidiasis were interdigital (29.6%), oral (45.3%), and intertrigo (17.1%). The most common isolates were Candida spp. (55.5%) and C. albicans (29.6%).



Arenas R, Guevara-Cervantes Javier F, Perez-Rojas Diego O, and Vasquez-del-Mercado E

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