Fungal infections of the skin and its appendages are caused by microorganisms called fungi, and include mycosis of the skin, hair and nails (onychomycosis).
Fungi, in general, are single-celled plant organisms and show enormous diversity. They are found everywhere, living both in soil, water and air, and many of them live naturally as parasites in the human body without causing any harmful disease.
However, conditions of high temperature and humidity create a favourable environment for fungal growth, leading to fungal infections. In particular, when a person's immune system is compromised, the occurrence of fungal infections is more frequent.
Onychomycosis mainly affects adults, although the number of cases of onychomycosis in childhood has increased considerably.
Several factors are responsible for the onset of mycosis, including the following:
Particularly common in people who have a habit of wetting their limbs. Affects the skin surrounding the nails (paronychia) and appears as a yellow tinge on the side of the onychium and may lead to onycholysis. Onychomycosis can be very easily observed due to a change in the appearance of the nails in either color or thickness. Although it is not dangerous, it takes a long time to be cured with pharmaceutical methods. A favorable environment for onychomycosis is humidity, as well as swimming pools. Often, it is the result of diabetes.
Varies from mild scaling to one or more exfoliating or highly inflammatory purulent lesions. It occurs most often during pre-puberty and is characterized by intense itching in the area. Due to the intense itching and scratching, the affected areas become contaminated by bacteria, resulting in eczema-like lesions or bleeding. It is quite common during childhood because the fungal that cause scalp dermatophyte are often detected in nurseries and schools.
Affects the beard of men. It may appear in the form of scaly red plaques, follicular purulent lesions or may have an atypical form.
Located on the trunk, upper and lower limbs. It is characterized by the appearance of red, scaly plaques that are usually round in shape. These plaques tend to expand peripherally with healing in the centre.
It is a dermatophyte fungal infection of the thigh-groin region and the buttocks. It occurs as a well-demarcated red patch, originally located unilaterally, which then extends bilaterally.
It is distinguished into the hyperkeratotic and dyskidrotic types. The first type is characterized by the presence of multiple small hyperkeratotic bubbles which rupture and lead to the appearance of erythrocyte plaque. The second type is characterized by the appearance of multiple scattered bubbles or pamphlets. Dermatophytosis of this category usually affects the interdigital spaces, but in chronic conditions it may extend to the entire arm or leg. Initially, itching and redness are observed in the interdigital spaces, followed by white erosions. This category includes 'athlete's foot', which is the most common fungal infection occurring on the feet.
A very common form of mycosis is vaginal mycosis and is caused by disturbance of the flora of the vagina. Fungi are naturally present in the vagina without causing symptoms. Sometimes, however, the conditions of the vagina change causing local inflammation. Fungal infections of the vagina plague many women and their occurrence is more common during the summer. Some indicative symptoms of vaginal mycosis include the appearance of thick, white-colored fluids, usually accompanied by itching, burning and irritation. Although more commonly seen in the female population, genital mycosis also affects men, but with a lower incidence.
In genital mycosis the symptoms appear on the genitals. In men, they are mainly seen under the penis or at the tip of the penis, while in women they are mainly seen as discharge.
When the symptoms of mycosis appear on the legs, they make walking difficult and often cause a bad smell.
Early diagnosis of fungal infections contributes to their timely and effective treatment and includes the following stages:
Fungal infections in humans can be caused by any fungus that penetrates the skin and mucous membranes and invades the tissues, causing superficial, subcutaneous or systemic disease. The most common genera of fungi responsible for most fungal infections are Microsporum, Trichophyton and Epidermophyton.
As a disease, mycosis does not threaten our general health, but if neglected, it can cause severe damage and can be combined with generalisation of mycosis to other areas of the body. This is not surprising, considering that up to 30 different species of fungi live in the most susceptible areas such as the armpits and hands. Furthermore, fungal infections can be accompanied by pain, tenderness when pressure is applied to the area and, especially in the case of onychomycosis, can cause thickening and detachment of the nail, leading to serious problems in the patient's psychology, social life and work.
To prevent fungal infection, it is important to maintain good physical hygiene. At the same time, the use of other people's personal belongings (e.g. towels, flip-flops), the use of tight underwear and clothing by women, and staying for a long time in a wet swimsuit should be avoided.
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