The high incidence of Tinea pedis and unguium in patients with Kaposi's sarcoma

✍ Scribed by I. Alteras; Batya Cafri; E. J. Feuerman

• Publisher: Springer Netherlands
• Year: 1981
• Tongue: English
• Weight: 214 KB
• Volume: 74
• Category: Article
• ISSN: 0301-486X
• DOI: 10.1007/bf00437160

✦ Synopsis

Forty patients suffering from Kaposi's sarcoma (31 males, 9 females aged from 18 to 80 years) were examined for the presence of mycotic invasion of the toe-webs, toe-nails and soles. Fungi were found without exception in all patients. In 35 patients all three sites were invaded; the remaining 5 showed no involvement of the toe-nails. The causative agent was T. rubrum in 31 patients, T. mentagrophytes in 7, E. floccosum in 2. Four subjects with T. rubrum infection also showed a super-imposed C. albicans infection in the toe-webs. The skin tests with Trichophytin and Candidin yielded a mildly positive response to the former antigen in 4 cases and to the latter in 8 cases. The strikingly high percentage of affected cases in this group of patients with Kaposi's sarcoma is discussed. R~sum~ 40 malades (3 ! hommes, 9 femmes, ag6s de 18/t 80 ans) souffrant de la maladie de Kaposi ont 6t6 examin6s pour la pr6sence d'une invasion fongique de la r6gion plantaire, des espaces interdigitaux et des ongles des orteils. On atrouv6 une atteinte mycosique chez tous, sans exception. Chez 35 tous les trois si~ges examin6s 6taient invad6s, chez 5 les ongles 6taient 6pargn6es. On a isol6 le T. rubrum chez 31 malades, le T. mentagrophytes chez 7 et E. floccosum chez 2. C. albicans a 6t6 aussi trouv6 comme agent de surrinfection dans les 16sions interdigitales dues/~ T. rubrum chez 4 malades. Les testes intradermiques ont montr6 une faible r6action positive ~ la trichophytine dans 4 cas et/tla Candidine dans 8 cas. Le pourcentage tellement 61ev6 d'atteinte mycosique dans ce groupe des malades avec maladie de Kaposi est bri~vement discut6.