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Trends in the evolution of dermato mycoses and of mycotic flora between 1972 and 1979 considerations concerning a total of 20925 cases

, : Trends in the evolution of dermato mycoses and of mycotic flora between 1972 and 1979 considerations concerning a total of 20925 cases. Revista de Medicina Interna Neurologie Psihiatrie Neurochirurgie Dermato-Venerologie Serie Dermato-Venerologia 26(1): 25-34

The differences noted in the incidence of the mycotic flora in the various geographical areas of the USSR, and of the world, as well as in various clinical forms of dermatomycoses were reported. A total of 20,925 cases (human) of dermatomycoses detected between 1972-1979 were studied. Dermatophytes (59.6%), Candida (26%), erythrasma (7.6%), pityriasis versicolor (6.1%) and molds (0.4%) were seen. Of the dermatophytes 49.4% were Trichophyton rubrum and 23.5% were T. mentagrophytes var. interdigitale. Three strains of dermatophytes showed a continued increase in incidence during the last 30 yr (T. rubrum, T. mentagrophytes var. interdigitale and T. quinckeanum). During the same period, another 4 strains continuously decreased (T. violaceum, T. schoenleini, Microsporum audouinii and T. mentagrophytes var. asteroides). Between 1972-1979 T. rubrum was the main causative agent of mycoses of the hands and feet, as well as in ungual and inguinal mycoses. M. canis was the strain that was discovered with the highest frequency in mycoses of the hair, and in cases of mycoses of the hairless skin. The highest incidence in suppurative mycoses was of the T. quinckeaneum strain. Mycoses of the hair decreased steadily; there was a considerable increase in the incidence of interdigito-plantar mycoses. Epidermophytic infection of the feet is seemingly at present the most widespread of the mycoses (39.1% of the cases) and is followed in prevalence by onicomycoses (18.4%). The other localizations by order of frequency are inguinal, glabrous skin, the scalp and suppurative mycoses.

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