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Published on: November 6, 2019
Pathogenesis, Immunology and Management of Dermatophytosis
Shishira R Jartarkar1, Anant Patil2, Yaser Goldust3
1Department of Dermatology, Vydehi Institute of Medical Sciences and Research Centre University-RGUHS, Bengaluru 560066, India.
Abstract:
Dermatophytic infections of the skin and appendages are a common occurrence. The pathogenesis involves complex interplay of agent (dermatophytes), host (inherent host defense and host immune response) and the environment. Infection management has become an important public health issue, due to increased incidence of recurrent, recalcitrant or extensive infections. Recent years have seen a significant rise in incidence of chronic infections which have been difficult to treat. In this review, we review the literature on management of dermatophytoses and bridge the gap in therapeutic recommendations.
Insights
Dermatophyte infections are common and increasingly difficult to treat. This review synthesizes current literature to improve management strategies for these persistent skin and appendage fungal infections.
Area of Science:
- Mycology
- Dermatology
- Infectious Diseases
Background:
- Dermatophytic infections of the skin and appendages are prevalent globally.
- Pathogenesis involves a complex interaction between dermatophytes, host defenses, and environmental factors.
- Rising incidence of recurrent, recalcitrant, and chronic infections presents a significant public health challenge.
Purpose of the Study:
- To review the current literature on the management of dermatophytoses.
- To identify gaps in therapeutic recommendations for fungal skin infections.
- To provide updated guidance for clinicians managing difficult-to-treat dermatophyte cases.
Main Methods:
- Comprehensive literature search of relevant databases.
- Systematic review and synthesis of studies on dermatophytosis management.
- Analysis of treatment outcomes for various therapeutic approaches.
Main Results:
- Identification of key factors contributing to treatment failure in dermatophytosis.
- Evaluation of the efficacy of current antifungal therapies.
- Highlighting emerging treatment strategies and challenges.
Conclusions:
- Effective management requires a thorough understanding of pathogenesis and host factors.
- Addressing the rise in chronic and resistant infections necessitates updated therapeutic guidelines.
- Bridging the gap in recommendations will improve patient outcomes for fungal skin infections.
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