Expert Panel Review of Skin and Hair Dermatophytoses in an Era of Antifungal Resistance

Hill, Rachel C.; Caplan, Avrom S.; Elewski, Boni; Gold, Jeremy A. W.; Lockhart, Shawn R.; Smith, Dallas J.; Lipner, Shari R.

doi:10.1007/s40257-024-00848-1

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Expert Panel Review of Skin and Hair Dermatophytoses in an Era of Antifungal Resistance

5 2024
By Hill, Rachel C. ; Caplan, Avrom S. ; Elewski, Boni ; ...
Source: Am J Clin Dermatol. 25(3):359-389

Public Access Version Available on: May 01, 2025, 12:00 AM

Please check back on the date listed above.

English

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Alternative Title:

Am J Clin Dermatol
Personal Author:

Hill, Rachel C. ; Caplan, Avrom S. ; Elewski, Boni ; Gold, Jeremy A. W. ; Lockhart, Shawn R. ; ... More +

Hill, Rachel C. ; Caplan, Avrom S. ; Elewski, Boni ; Gold, Jeremy A. W. ; Lockhart, Shawn R. ; Smith, Dallas J. ; Lipner, Shari R. Less -
Description:

Dermatophytoses are fungal infections of the skin, hair, and nails that affect approximately 25% of the global population. Occlusive clothing, living in a hot humid environment, poor hygiene, proximity to animals, and crowded living conditions are important risk factors. Dermatophyte infections are named for the anatomic area they infect, and include tinea corporis, cruris, capitis, barbae, faciei, pedis, and manuum. Tinea incognito describes steroid-modified tinea. In some patients, especially those who are immunosuppressed or who have a history of corticosteroid use, dermatophyte infections may spread to involve extensive skin areas, and, in rare cases, may extend to the dermis and hair follicle. Over the past decade, dermatophytoses cases not responding to standard of care therapy have been increasingly reported. These cases are especially prevalent in the Indian subcontinent, and Trichophyton indotineae has been identified as the causative species, generating concern regarding resistance to available antifungal therapies. Antifungal-resistant dermatophyte infections have been recently recognized in the United States. Antifungal resistance is now a global health concern. When feasible, mycological confirmation before starting treatment is considered best practice. To curb antifungal-resistant infections, it is necessary for physicians to maintain a high index of suspicion for resistant dermatophyte infections coupled with antifungal stewardship efforts. Furthermore, by forging partnerships with federal agencies, state and local public health agencies, professional societies, and academic institutions, dermatologists can lead efforts to prevent the spread of antifungal-resistant dermatophytes.
Subjects:

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Antifungal Agents Drug Resistance, Fungal Humans Risk Factors Skin Tinea Trichophyton
Source:

Am J Clin Dermatol. 25(3):359-389
Pubmed ID:

38494575
Pubmed Central ID:

PMC11201321
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHSUnited States/
Volume:

25
Issue:

3
Collection(s):

CDC Public Access
Main Document Checksum:

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urn:sha-512:207edcad18c0f41e81fb52778c7e50f2af8cdfb31954346a530551e54c49da57c6097a535b7d11cfe09d3122d809126a87f58f7ff72befc3736dcbc8487768f0
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