Sharquie Inas K, Al-Faham Mohammed, Karhoot Jasim M, Sharquie Khalifa E, Al-Waiz Makram M, Al-Douri Wisam S
Department of Microbiology, College of Medicine, University of Baghdad, Baghdad, Iraq.
Saudi Med J. 2005 Sep;26(9):1439-41.
The aim of this study was to evaluate the clinical and microbiological aspects of onycholysis in Iraqi housewives.
One hundred housewives with onycholysis of the finger nails were evaluated clinically in the Department of Dermatology and Venereology, Baghdad Teaching Hospital, Baghdad, Iraq between October 2002 to March 2003. Swabs were taken from those patients for microbiological evaluation in the Department of Microbiology, College of Medicine, University of Baghdad, Baghdad, Iraq. All cases with skin disorder related systemic diseases like anemia, hypothyroidism and drug intake like minocycline, oral contraceptives were excluded from the study.
One hundred housewives with onycholysis were enrolled in the study. Their ages ranged between 17-70 years with a mean of 41.96 +/- 12.57 years. Married females were 89 (89%), while unmarried females were 11 (11%). The site of involvement was mainly the thumb (76%) followed by the ring finger (12%), the index (7%), little (6%) and middle (5%) fingers. The pattern of onycholysis was distal in 47 (47%), lateral in 30 (30%) and both distal and lateral in 23 (23%) of the patients.
Onycholysis is a major problem among Iraqi housewives, most probably caused by repetitive mechanical, chemical and physical trauma; therefore, special preventive measures should be undertaken to minimize the incidence of the disease. Housewives should be encouraged to use preventive measures like using gloves and washing machines.
本研究旨在评估伊拉克家庭主妇甲剥离症的临床和微生物学方面。
2002年10月至2003年3月期间，在伊拉克巴格达巴格达教学医院皮肤科和性病科对100名患有指甲甲剥离症的家庭主妇进行了临床评估。从这些患者身上采集拭子，送至伊拉克巴格达大学医学院微生物学系进行微生物学评估。所有患有与皮肤疾病相关的全身性疾病（如贫血、甲状腺功能减退）以及服用米诺环素、口服避孕药等药物的病例均被排除在研究之外。
100名患有甲剥离症的家庭主妇参与了本研究。她们的年龄在17至70岁之间，平均年龄为41.96±12.57岁。已婚女性89名（89%），未婚女性11名（11%）。受累部位主要是拇指（76%），其次是无名指（12%）、食指（7%）、小指（6%）和中指（5%）。甲剥离的模式在47名（47%）患者中为远端型，30名（30%）为侧缘型，23名（23%）为远端和侧缘混合型。
甲剥离症是伊拉克家庭主妇中的一个主要问题，很可能是由重复性机械、化学和物理创伤引起的；因此，应采取特殊的预防措施以尽量减少该病的发生率。应鼓励家庭主妇采取预防措施，如使用手套和洗衣机。
