Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt

Background. The etiology of foot intertrigo is varied. Several pathogens and skin conditions might play a role in toe web space lesions. Objective. To identify the possible etiological causes of toe web space lesions. Methods. 100 Egyptian patients were enrolled in this study (72 females and 28 male...

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Main Authors: Hussein Mohamed Hassab-El-Naby, Yasser Fathy Mohamed, Hamed Mohamed Abdo, Mohamed Ismail Kamel, Wael Refaat Hablas, Osama Khalil Mohamed
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2015/701489
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author Hussein Mohamed Hassab-El-Naby
Yasser Fathy Mohamed
Hamed Mohamed Abdo
Mohamed Ismail Kamel
Wael Refaat Hablas
Osama Khalil Mohamed
author_facet Hussein Mohamed Hassab-El-Naby
Yasser Fathy Mohamed
Hamed Mohamed Abdo
Mohamed Ismail Kamel
Wael Refaat Hablas
Osama Khalil Mohamed
author_sort Hussein Mohamed Hassab-El-Naby
collection DOAJ
description Background. The etiology of foot intertrigo is varied. Several pathogens and skin conditions might play a role in toe web space lesions. Objective. To identify the possible etiological causes of toe web space lesions. Methods. 100 Egyptian patients were enrolled in this study (72 females and 28 males). Their ages ranged from 18 to 79 years. For every patient, detailed history taking, general and skin examinations, and investigations including Wood’s light examination, skin scraping for potassium hydroxide test, skin swabs for bacterial isolation, and skin biopsy all were done. Results. Among the 100 patients, positive Wood’s light fluorescence was observed in 24 and positive bacterial growth was observed in 85. With skin biopsy, 52 patients showed features characteristic for eczema, 25 showed features characteristic for fungus, 19 showed features characteristic for callosity, and 3 showed features characteristic for wart while in only 1 patient the features were characteristic for lichen planus. Conclusion. Toe web space lesions are caused by different etiological factors. The most common was interdigital eczema (52%) followed by fungal infection (25%). We suggest that patients who do not respond to antifungals should be reexamined for another primary or secondary dermatologic condition that may resemble interdigital fungal infection.
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series Dermatology Research and Practice
spelling doaj-art-7c245a9d738344bbb2f37f140685fe112025-08-20T03:35:44ZengWileyDermatology Research and Practice1687-61051687-61132015-01-01201510.1155/2015/701489701489Study of the Etiological Causes of Toe Web Space Lesions in Cairo, EgyptHussein Mohamed Hassab-El-Naby0Yasser Fathy Mohamed1Hamed Mohamed Abdo2Mohamed Ismail Kamel3Wael Refaat Hablas4Osama Khalil Mohamed5Al-Hussein University Hospital, Gawhar Al Qaed Street, El Darrasa, Cairo 11633, EgyptAl-Hussein University Hospital, Gawhar Al Qaed Street, El Darrasa, Cairo 11633, EgyptAl-Hussein University Hospital, Gawhar Al Qaed Street, El Darrasa, Cairo 11633, EgyptAl-Hussein University Hospital, Gawhar Al Qaed Street, El Darrasa, Cairo 11633, EgyptAl-Hussein University Hospital, Gawhar Al Qaed Street, El Darrasa, Cairo 11633, EgyptAl-Hussein University Hospital, Gawhar Al Qaed Street, El Darrasa, Cairo 11633, EgyptBackground. The etiology of foot intertrigo is varied. Several pathogens and skin conditions might play a role in toe web space lesions. Objective. To identify the possible etiological causes of toe web space lesions. Methods. 100 Egyptian patients were enrolled in this study (72 females and 28 males). Their ages ranged from 18 to 79 years. For every patient, detailed history taking, general and skin examinations, and investigations including Wood’s light examination, skin scraping for potassium hydroxide test, skin swabs for bacterial isolation, and skin biopsy all were done. Results. Among the 100 patients, positive Wood’s light fluorescence was observed in 24 and positive bacterial growth was observed in 85. With skin biopsy, 52 patients showed features characteristic for eczema, 25 showed features characteristic for fungus, 19 showed features characteristic for callosity, and 3 showed features characteristic for wart while in only 1 patient the features were characteristic for lichen planus. Conclusion. Toe web space lesions are caused by different etiological factors. The most common was interdigital eczema (52%) followed by fungal infection (25%). We suggest that patients who do not respond to antifungals should be reexamined for another primary or secondary dermatologic condition that may resemble interdigital fungal infection.http://dx.doi.org/10.1155/2015/701489
spellingShingle Hussein Mohamed Hassab-El-Naby
Yasser Fathy Mohamed
Hamed Mohamed Abdo
Mohamed Ismail Kamel
Wael Refaat Hablas
Osama Khalil Mohamed
Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt
Dermatology Research and Practice
title Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt
title_full Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt
title_fullStr Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt
title_full_unstemmed Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt
title_short Study of the Etiological Causes of Toe Web Space Lesions in Cairo, Egypt
title_sort study of the etiological causes of toe web space lesions in cairo egypt
url http://dx.doi.org/10.1155/2015/701489
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