Research Article

Overall Prevalence and Prevalence Compared among Psoriasis Treatments of Onychomycosis in Patients with Nail Psoriasis and Fungal Involvement

Table 3

Analysis for risk factors independently associated with onychomycosis in patients with nail psoriasis.

Univariate analysisMultivariate analysis
Crude odds ratio (95% confidence interval) valueAdjusted odds ratio (95% confidence interval) value

Male gender0.68 (0.27-1.70)0.411
Concomitant diabetes mellitus6.06 (1.53-24.02)0.0107.04 (1.44-34.50)0.016
Duration of psoriasis ≥10 years0.99 (0.37-2.70)0.989
Handwashing times/day1.83 (0.73-4.58)0.200
Occupation that increased the risk of hand exposure to water5.05 (1.89-13.52)0.0014.12 (1.36-12.51)0.012
1.30 (0.52-3.24)0.570
1.70 (0.65-4.46)0.281
Topical treatment: methotrexate3.19 (1.00-10.17)0.0502.12 (0.55-8.16)0.275
 Biologic#0.58 (0.18-1.91)0.3720.46 (0.12-1.86)0.277
Biologic treatment#: topical1.71 (0.53-5.60)0.3722.16 (0.54-8.65)0.277
 Methotrexate5.46 (1.63-18.36)0.0064.57 (1.11-18.93)0.036
Pitted nails1.51 (0.54-4.23)0.434
Leukonychia1.14 (0.46-2.83)0.785
Crumbling1.69 (0.65-4.41)0.282
Onycholysis0.46 (0.10-2.07)0.311
Subungual hyperkeratosis1.09 (0.43-2.77)0.850
Paronychial involvement0.90 (0.36-2.25)0.817
Candida infection in the oral cavity3.33 (0.92-12.01)0.0662.82 (0.59-13.39)0.192

Variables with a value < 0.20 in univariate analysis were included in multivariate analysis. A value < 0.05 in multivariate analysis was considered statistically significant. #Interleukin- (IL-) 17 inhibitors, antitumor necrosis factor, and anti-IL 12/23 were used in 20, 4, and 1 patient, respectively.