Background: Tinea corporis, also known as ‘ringworm,’ is a superficial dermatophyte infection of the skin, other than on the hands (tinea manuum), feet (tinea pedis), scalp (tinea capitis), bearded areas (tinea barbae), face (tinea faciei), groin (tinea cruris), and nails (onychomycosis or tinea unguium).1 Tinea corporis is most commonly caused by dermatophytes belonging to one of the three genera, namely, Trichophyton (which causes infections There are certain risk factors like age, sex, status of diabetes influence the occurrence of Tinea Corporis among diabetes. on skin, hair, and nails), Microsporum (which causes infections on skin and hair), and Epidermophyton (which causes infections on skin and nails).1–3 Dermatophytes are grouped as either anthropophilic, zoophilic, or geophilic, depending on whether their primary source is human, animal, or soil, respectively.4,5 Because tinea corporis is common and many other annular lesions can mimic this fungal infection, physicians must familiarize themselves with its etiology and its treatment. Aims and Objectives: To study Prevalence of Tinea Corporis in general population and evaluate its association with Diabetes patient. Methods: This study was conducted among 60 diabetes patients attending tertiary care hospital diabetes OPD to find out occurrence of Tinea Corporis. The patients were selected randomly. The clinical examination of Tinea Corporis was done. The blood investigation like blood sugar, HbA1c and Thyroid function were performed. The statistical analysis as Chi-square test was applied. Results: Among the study population 56% were female and 44% were male. The prevalence of Tinea Corporis was 66.6% in India among all skin diseases. The Tinea Corporis found in 29% of the female compare to 9% among male, this increase occurrence in female was statistically significant. This study found out the uncontrolled diabetes was one of the major risk factor for Tinea Corporis. Conclusions: The uncontrolled diabetes rather than duration of the diabetes is also major cause for Tinea Corporis. It is the duty of the Dermatologist and the patient to control the diabetes to prevent the Tinea Corporis.
According to World Health Organization reports, the global prevalence of diabetes was estimated to be 9% among adults aged ≥18 years in 2014, and hence about 347 million people around the world have the disease.
Tinea corporis, also known as ‘ringworm,’ is a superficial dermatophyte infection of the skin, other than on the hands (tinea manuum), feet (tinea pedis), scalp (tinea capitis), bearded areas (tinea barbae), face (tinea faciei), groin (tinea cruris), and nails (onychomycosis or tinea unguium).1 Tinea corporis is most commonly caused by dermatophytes belonging to one of the three genera, namely, Trichophyton (which causes infections There are certain risk factors like age, sex, status of diabetes influence the occurrence of Tinea Corporis among diabetes. on skin, hair, and nails), Microsporum (which causes infections on skin and hair), and Epidermophyton (which causes infections on skin and nails).1–3
Dermatophytes are grouped as either anthropophilic, zoophilic, or geophilic, depending on whether their primary source is human, animal, or soil, respectively.4,5 Because tinea corporis is common and many other annular lesions can mimic this fungal infection, physicians must familiarize themselves with its etiology and its treatment.
Tinea corporis is the most common dermatophytosis [41]. While tinea corporis occurs worldwide, it is most commonly observed in tropical regions [42]. The lifetime risk of acquiring tinea corporis is estimated to be 10–20%.6 Tinea corporis occurs most frequently in post-pubertal children and young adults.[18,43,44] Rare cases have been reported in the newborn period.[45] There is no sex predominance.1 Humans may become infected through close contact with an infected individual, an infected animal (in particular, domestic dog or cat), contaminated fomites, or contaminated soil.[46–48 ]Infection may be acquired as a result of spread from another site of dermatophyte infection (e.g. tinea capitis, tinea pedis, onychomycosis).[49,50]
Diabetes can cause complications that affect all systems of the body. However, such complications mainly refer to the compromising of the vascular and immune systems and of peripheral neuropathy, and hence diabetes patients are particularly susceptible to fungal infection3 Gupta et al.
Aims & Objectives
To study Prevalence of Tinea Corporis in general population and evaluate its association with Diabetes patient
We Conducted Cross sectional study to Find out the prevalence of Tinea Corporis in general population and its association with Diabetes patient among general population by using self-report questionnaire Written consent has been taken from all the participants before starting study .Total 60 peoples participated through random sampling method.
Cross sectional study method was used in this study. We included the various variables to explore the relationship between Tinea Corporis and Diabetes patient .Here we used the lottery method to exclude biased. Participants who are more than 18 years old are included in this study.
We conducted community‑based, Cross Sectional study. For we started random sampling procedure among general population and selected participants are included in this study from beginning June 1, 2024- to December 2024. Before stared the study we already taken the approval from the institutional review board IIMSAR, Haldia
Study Population
All diabetic mellitus patients attending diabetic OPD.
Included Criteria
Patients above 18 years of age and who are known diabetic on treatment attending diabetic OPD were included in the study.
Exclusion Criteria
Patients below 18 years of age and patients having secondary diabetes were excluded from the study.
Patients with obesity, hypothyroidism, causing peripheral neuropathy including familial causes.
Sample Size
Participants with Diabetic are above inclusion and exclusion criteria- 60 cases were selected randomly. Ethical committee clearance was obtained from the Institutional Ethical Committee.
Detailed history regarding the diabetic history, treatment history, duration of the illness, symptoms relating to neuropathy confined to upper limb or lower limb. History of hemodialysis previously was obtained
In our study Table no 1 it was found that prevalence of Tinea corporis is 63.3%.
In our study total participants. Among them majority of participants were suffered of Tinea Corporis 63.3% , then 16%people were suffered of pityriasis Alba, 10% were suffered of Dermatitis and 6.6% were suffered of Psoriasis. And only 3.3% were found Vitiligo among General Population.
Table 1:- Frequency of different type of Skin diseases |
|||
|
Number |
Frequency |
|
1 |
Tinea corporis |
38 |
63.3% |
2 |
Pityriasis alba |
10 |
16.0% |
3 |
Dermatitis |
6 |
10% |
4 |
Psoriasis |
4 |
6.6% |
5 |
Vitiligo |
2 |
3.3% |
|
Total |
60 |
100.0 |
The present study was conducted to find out the prevalence of the Tinea Corporis and diabetic patient. Among the study population of 60, 63% were in the age group between 41 and 60 (Table 2).
Association of Diabetes with Tinea Corporis
Table No2: -Age Distribution in Diabetic Patient
Sl No |
Age(Years) |
Frequency |
Percentage |
1 |
18 to 28 |
4 |
6.66 |
2 |
28 to 38 |
8 |
13.33 |
3 |
38 to 48 |
10 |
16.6 |
4 |
48 to 58 |
13 |
21.6 |
5 |
58 to 68 |
11 |
18.33 |
6 |
68 above |
14 |
23.33 |
|
Total |
60 |
99.85 |
36.33% were female and 63.33% were male in the study population. Nearly 92% were belonging to Type 2 Diabetes mellitus. Male participants are more prone to diabetes as compared to female participant. .About 59% were not under control of diabetes as per the records and also according to HbA1c. Among 60 diabetes patients 21 (19.8%) people were suffering from carpal tunnel syndrome.
The occurrence of Tinea Corporis was 18.6% among diabetes mellitus according but clinical assessment has identified only 11.3%. The routine study has found the prevalence of Tinea Coporis was 66.6% in india. The Tinea Corporis found is in 21% of the female compare to 7% among male, this increase occurrence in female was statistically significant. There was statistical significant association between symptoms of the disease and presence of disease (Table 3).
Table 3:- Gender wise distribution of Tinea Corporis
Sr. No. |
Variable |
Groups |
Frequency |
Percentage |
2 |
Gender |
Male |
38 |
63.33 |
Female |
22 |
36.66 |
||
Total |
|
|
60 |
|
Fig 3: - Gender wise distribution of Tinea Corporis
The disease was more among the people who did not have control of diabetes and it was statistically significant as shown in Table 4. It has been seen that that uncontrol diabetes patient are more suffered of Tinea Corporis as compare of control group of diabetic patient .here my study Odd ratio is Odds Ratio=3.55, 95% CI = 1.1940 to 10.58 , Chi Square =2.278 , P value <0.022 . Here P value is less that 0.05 s0 it is statistically significant. So Diabetic patient have more chances of Carpel tunnel syndrome as compared to no diabetic patient.
Table 4:-Association of Diabetic Patient with Tinea Corporis |
||||
|
Tinea Corporis |
Total |
||
yes |
No |
|||
|
Diabetic Patient (Uncontrol ) |
24 |
11 |
35 |
68.57% |
31.00% |
100.00% |
||
Control Group |
9 |
16 |
25 |
|
36.00% |
64.00% |
100.00% |
||
Total |
33 |
27 |
60 |
Odds Ratio=3.55, 95% CI = 1.1940 to 10.
Diabetes is one of the Contribution factors for Tinea Corporis.
The occurrence of Tinea Corporis among one fourth of the diabetes patients is proved by various studies. This problem along with other complication also gives burden on the patients. The uncontrolled diabetes rather than duration of the diabetes is also major cause for the Tinea Corporis. It is the duty of the physician and the patient to control the diabetes to prevent the Tinea Corporis. Fungal skin and nail infections of the feet, such as tinea Corporis and onychomycosis, were significantly more frequent in diabetes patients, and the development of tinea Corporis in these patients was significantly associated with increasing age and male gender
The prevalence of Tinea Corporis among in Diabetic patients in IIMSAR Haldia is 63.33%. The result of the present study also showed that the Males are more affected than Females
Conflict of interest
There is no any Conflict Of interest.
Submission declaration
This submission has not been published anywhere previously and that it is not simultaneously being considered for any other