P-382 Prevalence of Skin Fungal Infections and Onychomycosis Among Traditional Tanners

Introduction The objective of this study was to evaluate the prevalence and location of skin mycoses and onychomycosis among tanners. Methods this cross-sectional observational study interested 243 people working in traditional tanneries in Fez. It included a questionnaire and a clinical examination. The sociodemographic and professional data were age, professional seniority, means of protection used. The clinical examination specifies the location, nature and appearance of the lesions. Results The mean age was 45 ± 9.8 years. The average length of service was 22.6 ± 4.3 years. 13.2% had skin mycosis: 5.7% perionyxis, 5.3% intertrigo and 2% pityriasis. 72.4% had onychomycosis, including 35.8% with nail involvement, 32.5% with toenail involvement and 31.8% with associated nail and toenail involvement. Distolateral subungual onychomycosis represented 59.7%, total onychodystrophy 22.1% and superficial leuko-onychomycosis 18.2%. The most common lesions concerned the big toe (97.4%) and the thumb (95.1%). In people with onychomycosis, 58.2% had 10 toes affected and 66.6% had 10 fingers affected. The hygiene of the tanners was defective. They walked barefoot on damp ground, handled skins without gloves and used numerous irritating products (lime, vegetable tannins, mineral and vegetable dyes, chromium, sulfuric acid, hydrochloric acid, formic acid, ammonium sulfate and metabisulfite, etc.). Discussion and conclusion these craftsmen must benefit from occupational medical coverage for better prevention of maceration mycosis and onychomycosis.