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J Am Acad Dermatol. 1998 May;38(5 Pt 1):702-4.

Effect of onychomycosis on quality of life.

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  • 1Department of Dermatology, the Cutaneous Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston 02114-2696, USA.

Abstract

BACKGROUND:

Onychomycosis impairs normal nail functions, causes considerable pain, interferes with daily activities, and has negative psychosocial effects.

OBJECTIVE:

Our purpose was to determine patients' perception of onychomycosis on the quality of life.

METHODS:

A total of 258 patients with confirmed onychomycosis were surveyed by telephone at three centers. Responses to a standardized quality-of-life questionnaire were analyzed for patient demographics, physical and functional impact, psychosocial impact, and economic impact.

RESULTS:

Highest positive responses were nail-trimming problems (76%), embarrassment (74%), pain (48%), nail pressure (40%), and discomfort wearing shoes (38%). Ability to pick up small objects was impaired in 41% of subjects with fingernail involvement. More than 58 onychomycosis-related sick days and 468 medical visits (1.8 per subject) were reported during a 6-month period.

CONCLUSION:

Onychomycosis has significant social, psychologic, health, and occupational effects. Relevance of quality-of-life issues to overall health, earning potential, and social functioning should prompt reconsideration of the value of aggressive treatment of and financial coverage for onychomycosis.

PMID:
9591814
[PubMed - indexed for MEDLINE]
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