未经证实:皮肤镜检查是一种非侵入性辅助诊断工具,可让临床医生观察皮肤疾病的微观特征。最近的研究表明,皮肤镜检查可用于诊断甲癣。我们进行了这项系统评价,以确定甲癣的特征性皮肤镜特征并了解其诊断实用性。
未经授权:我们搜索了Medline,Embase,Scopus,和Cochrane数据库从概念到2021年5月。筛选了甲癣的皮肤镜特征研究。排除标准如下:甲癣5例以下,评论文章,和研究包括未经真菌学证实的甲癣病例。分别对真菌黑甲的研究进行了分析。我们坚持MOOSE准则。进行独立的数据提取。使用随机效应模型汇集数据以解释研究的异质性。主要结果是甲真菌病的皮肤镜特征的诊断准确性。这是通过合并使用DerSimonian-Laird方法进行系统审查期间确定的皮肤镜特征的敏感性和特异性值来确定的。Meta-DiSc1.4版和ReviewManager5.4.1用于计算这些值。
UNASSIGNED:我们分析了关于1693例甲癣的19篇文章和关于148例真菌性甲癣的5篇文章。常见报道的甲癣的皮肤镜特征是尖峰或尖峰模式(509,30.1%),锯齿状或尖刺边缘或带有尖刺的锯齿状边缘(188,11.1%),锯齿状近端边缘(175,10.3%),甲下角化过度(131,7.7%),废墟外观,方面或模式(573,33.8%),和纵向条纹(929,54.9%)。常见报道的真菌黑甲癣的特征包括多色(101,68.2%),非纵向均匀色素沉着(75,50.7%)和纵向白色或黄色条纹(52,31.5%)。
UNASSIGNED:本研究强调了甲真菌病的常见皮肤镜特征。认识到甲癣的这种特征性皮肤镜特征可以帮助临床医生通过床边诊断甲癣。
UNASSIGNED: Dermoscopy is a non-invasive adjuvant diagnostic tool that allows clinicians to visualize microscopic features of cutaneous disorders. Recent studies have demonstrated that dermoscopy can be used to diagnose onychomycosis. We performed this systematic review to identify the characteristic dermoscopic features of onychomycosis and understand their diagnostic utility.
UNASSIGNED: We searched the Medline, Embase, Scopus, and Cochrane databases from conception until May 2021. Studies on the dermoscopic features of onychomycosis were screened. The exclusion criteria were as follows: fewer than 5 cases of onychomycosis, review articles, and studies including onychomycosis cases that were not mycologically verified. Studies on fungal melanonychia were analyzed separately. We adhered to the MOOSE guidelines. Independent data extraction was performed. Data were pooled using a random effects model to account for study heterogeneity. The primary outcome was the diagnostic accuracy of the dermoscopic features of onychomycosis. This was determined by pooling the sensitivity and specificity values of the dermoscopic features identified during the systematic review using the DerSimonian-Laird method. Meta-DiSc version 1.4 and Review Manager 5.4.1 were used to calculate these values.
UNASSIGNED: We analyzed 19 articles on 1693 cases of onychomycosis and 5 articles on 148 cases of fungal melanonychia. Commonly reported dermoscopic features of onychomycosis were spikes or spiked pattern (509, 30.1%), jagged or spiked edges or jagged edge with spikes (188, 11.1%), jagged proximal edge (175, 10.3%), subungual hyperkeratosis (131, 7.7%), ruins appearance, aspect or pattern (573, 33.8%), and longitudinal striae (929, 54.9%). Commonly reported features of fungal melanonychia included multicolor (101, 68.2%), non-longitudinal homogenous pigmentation (75, 50.7%) and longitudinal white or yellow streaks (52, 31.5%).
UNASSIGNED: This study highlights the commonly identified dermoscopic features of onychomycosis. Recognizing such characteristic dermoscopic features of onychomycosis can assist clinicians diagnose onychomycosis by the bedside.