"V体育2025版" Therapeutic Updates on the Management of Tinea Corporis or Cruris in the Era of Trichophyton Indotineae: Separating Evidence from Hype-A Narrative Review
- PMID: 38099117
- PMCID: PMC10718250
- DOI: 10.4103/ijd.ijd_832_23
Therapeutic Updates on the Management of Tinea Corporis or Cruris in the Era of Trichophyton Indotineae: Separating Evidence from Hype-A Narrative Review
Abstract
The emergence and spread of Trichophyton indotineae (T. indotineae) has led to a sea change in the prescription practices of clinicians regarding the management of dermatophytic skin infections. An infection easily managed with a few weeks of antifungals, tinea corporis or cruris, is now often chronic and recurrent and requires prolonged treatment. Rising resistance to terbinafine, with documented squalene epoxidase (SQLE) gene mutations, and slow clinical response to itraconazole leave clinicians with limited treatment choices. However, in these testing times, it is essential that the tenets of antifungal stewardship be followed in making therapeutic decisions, and that the existing armamentarium of antifungals be used in rationale ways to counter this extremely common cutaneous infection, while keeping the growing drug resistance among dermatophytes in check. This review provides updated evidence on the use of various systemic antifungals for dermatophytic infection of the glabrous skin, especially with respect to the emerging T. indotineae species, which is gradually becoming a worldwide concern VSports手机版. .
Keywords: Antifungals; Trichophyton indotineae; griseofulvin; itraconazole; ketoconazole; mutations; resistance; squalene epoxidase; terbinafine; tinea corporis; tinea cruris; treatment; voriconazole V体育安卓版. .
Copyright: © 2023 Indian Journal of Dermatology. V体育ios版.
Conflict of interest statement
There are no conflicts of interest.
References
-
- Khurana A, Sardana K, Chowdhary A. Antifungal resistance in dermatophytes: Recent trends and therapeutic implications. Fungal Genet Biol. 2019;132:103255. - PubMed
-
- Uhrlass S, Sithach M, Koch D, Wittig F, Muetze H, Krueger CNP. Trichophyton mentagrophytes—A new genotype in Cambodia. J Fungi. 2019;5:460.
-
- Astvad KMT, Hare RK, Jørgensen KM, Saunte DML, Thomsen PK, Arendrup MC. Increasing terbinafine resistance in Danish Trichophyton isolates 2019–2020. J Fungi (Basel) 2022;8:150. - "V体育官网" PMC - PubMed
LinkOut - more resources
Full Text Sources