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169469

Study of Fungal Growth in Plaque Psoriasis Patients

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Last updated: 28 Dec 2024

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Abstract

Background: Psoriasis is a common, chronic, immune-mediated disease manifested mainly as skin lesions and extracutaneous comorbidities associated with systemic inflammation. Typical skin manifestations of psoriasis include erythematous, indurated, and scaling plaques that are painful, itchy, and have a burning sensation. Fungi as Malassezia and Candida  albicans have been implicated in the pathogenesis of psoriasis. Aim of work: is to study the association between the presence of different fungal growth and psoriasis. Patients and Methods: This study was carried out on a total of 30 patients clinically diagnosed to have psoriasis, attending the outpatient clinic of the Dermatology and Andrology Department of Benha University Hospital, from April 2019 to July 2020. All patients were subjected to complete history taking, general examination, and dermatologic examination to confirm the diagnosis. An informed consent approved by the Research Ethics Committee at Faculty of Medicine Benha University was taken from all individuals before being enrolled in this study. From the lesions, scales were collected by gentle scraping, examined microscopically for detection of any fungal growth using 10% potassium hydroxide (KOH) and then cultured on Sabouraud's Dextrose Agar (SDA) with and without cyclohexamide and Dixon's medium for identification of any fungal growth. Results: The mean age of patients was 38.3, twenty patients were males and 15 patients reported to be smokers. Only seven patients had positive family history. Most patients had gradual onset and course of exacerbation and remission. Twenty two cases of psoriasis showed positive KOH and culture for fungal growth. 10 cases were positive for Aspergillus, 7 for Candida, 4 for Malassezia, and only one case for Dermatophytes. Conclusion: Fungal infection may play a role in the pathogenesis of psoriasis, its prevalence is still a matter of debate and its exact role is in need for more research to be revealed.

DOI

10.21608/bjas.2021.169469

Keywords

Psoriasis, fungal growth, Aspergillus, Candida, Malassezia

Authors

First Name

E.M.

Last Name

Sanad

MiddleName

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Affiliation

Dermatology & Andrology Department, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

A.M.

Last Name

Hamed

MiddleName

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Affiliation

Dermatology & Andrology Department, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

R.A.

Last Name

El Sayed

MiddleName

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Affiliation

Medical Microbiology & Immunology, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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First Name

N.N.

Last Name

Nazmy

MiddleName

-

Affiliation

Dermatology & Andrology Department, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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Volume

6

Article Issue

3

Related Issue

24728

Issue Date

2021-05-01

Receive Date

2021-05-01

Publish Date

2021-05-01

Page Start

7

Page End

9

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_169469.html

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https://bjas.journals.ekb.eg/service?article_code=169469

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2

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Study of Fungal Growth in Plaque Psoriasis Patients

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Article

Created At

23 Jan 2023