Journal of the American Podiatric Medical Association, Vol 82, Issue 2 116-123, Copyright © 1992 by American Podiatric Medical Association

CLASSICAL ARTICLE

Nail dust aerosols from onychomycotic toenails. Part II. Clinical and serologic aspects. 1984

C Abramson and J Wilton
Pennsylvania College of Podiatric Medicine, Philadelphia 19107.

The podiatric procedure of burring hyperkeratotic fungal infected toenails results in large quantities of nail dust aerosols. An extremely large percentage (31%) of podiatrists who were analyzed for immunoglobulin E (IgE) by antibody radioimmunoassay were found to have abnormally high levels. Incidence of precipitin antibodies to Trichophyton rubrum in sera of those in practice from 0 to 15 years was 23%, and those in practice 16 years or more was 29%. In this study, podiatrists who were chronically exposed to nail dust aerosols after years of practice presented with symptoms of conjunctivitis, rhinitis, asthma, coughing, hypersensitivity, and impaired lung function.

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