Research Topic: dermatophyte infection

Three cases of easy to be misdiagnosed tinea of vellus hair

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This case report describes three patients (ages 2-24) who had skin infections caused by a fungus called Microsporum canis that initially was misdiagnosed as eczema or other simple skin conditions. The infections involved fine vellus hair and required prolonged combined treatment with both oral and topical antifungal medications to fully resolve. The key lesson is that proper fungal testing and extended treatment similar to scalp ringworm protocols are necessary for treating these easily-missed infections.

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Antifungal Efficacy of Luliconazole-Loaded Nanostructured Lipid-Carrier Gel in an Animal Model of Dermatophytosis

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Researchers developed a new antifungal gel containing luliconazole loaded into tiny lipid nanoparticles to treat stubborn fungal skin infections caused by Trichophyton indotineae that resist standard terbinafine treatment. Testing in guinea pigs showed this new nanoformulation penetrated skin better and cleared infections faster (21 days) compared to regular luliconazole gel (28 days) and terbinafine-treated animals. The nanoparticle delivery system improved the drug’s ability to reach infected skin layers and showed no harmful side effects, offering promise for treating resistant fungal infections in patients.

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Safety and efficacy of the swift microwave device in patients with mild-to-moderate onychomycosis: Protocol of an open-label, randomized, dose-finding pilot study

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Onychomycosis, commonly known as toenail fungus, is a widespread infection affecting millions of people. Current treatments often fail or cause side effects. This study tests a new microwave device that heats the infected nail to kill the fungus without harming surrounding tissue or causing systemic side effects. Researchers are testing three different treatment schedules to find the most effective approach.

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A Case of Superficial Mycoses in a Patient with Systemic Lupus Erythematosus

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A 52-year-old woman with lupus developed severe fungal skin infections that were initially mistaken for worsening lupus symptoms. Her condition improved after 6 months of treatment with two antifungal medications (terbinafine and itraconazole). This case reminds doctors that patients taking immunosuppressive medications for lupus are at high risk for fungal infections, which can be misdiagnosed as lupus flares.

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