To evaluate the prevalence of dermatophyte onychomycosis in Spain, a c
ross-sectional study was conducted between 1992 and 1993. A total of 1
0,007 subjects over the age of 15 years were interviewed (using the co
mputer-assisted telephone interview system), completed a directed ques
tionnaire, and reviewed a series of photographs of diverse nail disord
ers. The period prevalence of onychomycosis was 2.6% and the point pre
valence 1.7%. The prevalence of onychomycosis was higher in women (1.8
%) than in men (0.8%). Age group distribution showed a higher onychomy
cosis prevalence (1.2%) in the oldest age group (>55 years). With rega
rd to localization, the prevalence of toenail onychomycosis was higher
than that of fingernail onychomycosis and of concurrent infection in
both sites. The results of this study suggest that 802,893 inhabitants
of Spain bane, or have previously suffered from dermatophyte onychomy
cosis. Only 38.6% have sought medical advice, and only 14% of those wh
o did so consulted a dermatologist.